Golf Outing Registration Form

Golf Scramble Registration Form

April 26th, 2025
The 3rd Annual Baseball & Track Golf Tournament will be held Saturday, April 26, 2025, at Belk Park Golf Course in Wood River, IL. Guaranteed money is based on a full field; We look forward to working with our tournament players and sponsors, both old and new, to make our golf tournament a success.
Cost: $100 for advanced registration ($400 per team) Includes Skins & Mulligans

Registration: 8:30 am- 9:45 am

Shotgun Start: 10:00 am

Advanced Registration: (Deadline: April19th)

Send registration and payment to:

Roxana High School - Attn: Jerry Wheaton

401 Chaffer Ave

Roxana, IL 62084

For more information, contact:

Jerry Wheaton at (217) 891-5463

Robert Rahn at (618) 540-0053
Enjoy a complete program, including 18 holes of golf, food, beverages, door prizes, and an awards presentation ...

Payouts & Awards

• Two longest-drive contests

• Two closest to the pin contests

• Skins contest

• Payout for flights (number of flights based on size of field)

• 50/50
Food- Donuts during registration, Hot dog, chips, and drinks at the turn. Catered buffet dinner will be prepared and served at the conclusion of the scramble.
Door Prizes, 50/50, Raffle Items, and contests throughout the round.
Golfer/Team Registration Section

This field is required
Golfer/Team Captain Name

First NameLast Name
Golfer/Team Captain E-mail
Cell Phone Number

Area CodePhone Number
Tell us about about the rest of your team

List the players you are registering. Email Jerry Wheaton when the remainder of your team is known.
Player #2
Cell Phone Number

Area CodePhone Number
Player #3

First NameLast Name
Cell Phone Number

Area CodePhone Number
Player #4

First NameLast Name
Cell Phone Number

Area CodePhone Number
How are you going to pay?
Team Payment Information

Please pay for the entire team online.

My Products

Team Amount$400.00

Quantity

Total $0.00

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Golf Scramble Registration Form

Golfer/Team Registration Section

Tell us about about the rest of your team

Team Payment Information

My Products