Golf Tournament to benefit Smart Moves (A program developed by the Boys and Girls Clubs of America) and the Missouri Law Enforcement Funeral Assistance Team

1. 2011 Law Enforcement Charity Golf Scramble
September 2, 2011
Proceeds Benefit:
8:00 AM Shotgun Start Smart Moves program, a
Four Person Scramble Format comprehensive drug prevention
program, developed by the Boys
$60/player & Girls Clubs of America
Missouri Law Enforcement
Funeral Assistance Team
Contest and prize on every hole
Includes 18 holes of golf with cart and meal
Register as a team - captain must be in law enforcement related field (fire, emt, prosecutor, retired, etc.)
Deadline for Registration – August 20th (teams registered and paid by Aug. 1st entered in special drawing)
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ISLAND GREEN GOLF COURSE
Enter Name, Agency, and E-mail address of Each Player on the space provided below. We will be sending all
notification of the upcoming events via email, so email address is necessary!
Team Captain______________________________________________________________
Player 2 _______________________________________________________________
Player 3 _______________________________________________________________
Player 4 _______________________________________________________________
Payment Enclosed: ____________X_____$60_______ =___________________Amount Paid
Make Payment Payable to: Springfield Police Sergeant’s League For additional information
Send to: IRS-CI, 2937 S. Claremont, Springfield, MO 65804 Contact: Don Puckett (417) 353-3873
Donald.Puckett@ci.irs.gov