Logan College Alumni Association presents
2013 Annual Student/Alumni Golf Tournament Featuring Michael Murphy, DC Biomechanics of Golf (4 hours of continuing education) Michael Murphy, DC Team chiropractor for the St. Louis Blues (NHL) • Official team chiropractor of the St. Louis Rams (NFL) • Instructor for the Certified Chiropractic Sport Physician Program (CCSP) and Diplomate American Board of Chiropractic Orthopedics (DABCO) at Logan College of Chiropractic • Published the “Measurement of Cortical Stimulation from Cervical Spine Adjusting” When Thursday, June 13, 2013
Golf Fees $80 Student $135 Doctor/Non-student $250 Sponsor a hole $350 Sponsor a hole plus play $35 License Renewal Certification (if needed) Alumni Association members license renewal fee is waived.
Where Pevely Farms Golf Club 400 Lewis Road St. Louis, MO 63025 www.pevelyfarms.com Schedule 7:30 a.m. Registration 8 a.m. Continental Breakfast/ Dr. Murphy Lecture 9 a.m. Shot Gun Start Box lunches will be provided.
Mulligans will be available for purchase at the time of the tournament.
Registration Individuals or foursomes must be registered by Friday, May 31! There is no guarantee that space will be available after this date. Please send registration to: Logan College Alumni Association Attn: Golf Tournament 1851 Schoettler Rd PO Box 1065 Chesterfield, MO 63006 Or fax to: (636)207-2441
Logan College Annual Student/Alumni Golf Tournament
R E G I S T R AT I O N F O R M
Name
Phone
Address
City/State/Zip
Grad Date/Trimester
Partner(s)
Golf Fees:
Payment Method: Credit Card Number
$80 Student
$
$135 Doctor/Non-student
$
$250 Sponsor a Hole
$
$350 Sponsor a Hole plus Play
$
Cash
Check #
Visa
Expiration Date (Month/Year)
MC
Amex
Discover
Security Code (required)
Signature I hereby authorize Logan College Alumni Association to charge my card for the amount listed above.
For Office Use Only Paid Payment Date
Please make all checks payable to Logan College Alumni Association
Mail or fax forms to: Logan College Alumni Association, Attn: Golf Tournament, 1851 Schoettler Road, PO Box 1065, Chesterfield, MO 63006-1065 Fax (636)207-2441 S P R I N G 2 0 1 3 21