Penn Highlands Healthcare/KTH

Architects

GOLFER INFORMATION

TEAM (BUSINESS) NAME

__________________________________________(as it should be printed in program)

TEAM CAPTAIN NAME

__________________________________________Name

_______________________________________Handicap

__________________________________________Address line 1

__________________________________________Address line 2

__________________________________________City / State / Zip

__________________________________________E-mail

__________________________________________Daytime Telephone Number

TEAM MEMBERS __________________________________________Name

__________________________________________Handicap

__________________________________________Name

__________________________________________Handicap

_________________________________________Name

__________________________________________Handicap

PLEASE COMPLETE OTHER SIDE

KTH Architects, Inc.1741 Kiwanis TrailDuBois, PA 15801

204 Hospital AvenueDuBois, PA 15801

Four Golf CoursesBavarian Hills Golf Course Eagles Ridge Golf Course Pinecrest Country Club

Treasure Lake Silver Course

Friday, June 21, 2019

This year’s Penn Highlands Healthcare/ KTH Architects Golf Classic is set for Friday, June 21st, so mark your calendar! Once again, we are holding this ultimate tournament on one date in four locations.

Your team can choose from the four courses, on a first-come, first served basis. The event is a scramble format with a shotgun start at 9:00 AM. You may direct your donation where you wish, selecting from: Penn Highlands Healthcare, where it will be shared equally among the four hospitals, PH Brookville for Surgical Services Equipment; PH Clearfield for Digital Mammography Suite; PH DuBois for Endobronchial Ultrasound Scope; or PH Elk for Vital Sign Monitors.

Please see the enclosed sponsor form for complete sponsorship opportunities!

Throughout the day, you’ll enjoy an abundance of snacks and beverages. Our Penn Highlands Healthcare Executives will be located at our “Chill & Grill” serving hot dogs and cold drinks.

There will be valuable prizes and great giveaway items. After play, all golfers will be treated to dinner right at their course of play.

So...Schedule yourself for a day of fun while supporting Penn Highlands Healthcare!

Golfer Registration Fee

Golf CoursesRegistration begins at 8:00 AM

Tee off at 9:00 AM

Bavarian Hills Golf Course, St. Marys

Eagles Ridge Golf Course, Curwensville

Pinecrest Country Club, Brookville

Treasure Lake Silver Course, DuBois

Immediately after play, enjoy Happy Hour (cash bar) and dinner,

awards, and prizes at your course of play!

For more information or to register: E-mail: dhaney@phhealthcare.org

Phone: 814-375-3901

Additional golf forms are available on our website at www.phhealthcare.org/golfclassic

Make checks payable to: PHH Golf Classic

Send registration and payment to: Penn Highlands Healthcare Development Department

PO Box 447 DuBois, PA 15801-0447

This includes tournament play, cart, lunch, dinner for golfers, and refreshments.

Choice of four courses. Shotgun start, scramble format.

• $175/Golfer

• $600/Team of four

• Various Major Sponsor Levels (see sponsor form for selections)

GOLFER CLASSIC REGISTRATION

To register, return this portion of the form to Penn Highlands Healthcare Fund Development Department. Your registration will not be considered complete until payment is received and all items below are completely filled out. Completed registration is required to hold your choice of course.

Number of golfers registering on this form: q One q Two q Three q Four

COURSE REQUEST Please mark your 1st, 2nd, 3rd & 4th choices! Courses are filled in the order of receipt of completed registrations. __ Bavarian Hills Golf Course __ Eagles Ridge Golf Course__ Pinecrest Country Club__ Treasure Lake Silver Course__ No Preference

Super Ticket Pre-purchase Offer!

DIRECT MY DONATION TO:q Penn Highlands Healthcare (shared equally)q Penn Highlands Brookvilleq Penn Highlands Clearfieldq Penn Highlands DuBoisq Penn Highlands Elk

SUPER TICKET includes: (1) 50/50 Chance (1) Mulligan (1) Vegas Hole Chance (1) Skins Game Entry

# ______ Super Tickets @ $25/golfer ($100/team)$ ______ EnclosedPlease note: Super Tickets will also be available at the course.

(Mulligans will be limited to one per golfer.)

PLEASE COMPLETE OTHER SIDE