application

Registration
Driving Directions
Name ____________________________________________________
From Manhattan – take the FDR Drive over the
RFK Bridge onto the Bruckner. Exit onto the
Hutchinson River Parkway, follow and get off at
Exit 5, Orchard Beach – City Island. Follow
around traffic circle past Orchard Beach sign to
Shore Road sign, go right , course is 700 yards
up on the left. Drop your clubs off and park
your car.
Company Name ______________________________________________
Address ___________________________________________________
City ______________________________State________Zip _________
Phone ____________________________________________________
T H E 3rd A N N U A L
E-Mail ____________________________________________________
Golfer 1 Name _______________________________________________
Golfer 2 Name _______________________________________________
From North – Come down Hutchinson River
Parkway to Orchard Beach/City Island exit, go to
circle and come around to Shore Road/ golf
course sign.
Golfer 3 Name _______________________________________________
Google and MapQuest do a good job.
Golfer 4 Name _______________________________________________
SPONSORSHIP REGISTRATION
___Luncheon $600
___Cocktail Hour $500
___Awards/Trophies $300
___Raffle Prizes $300
___Hole in one Insurance $250
___Hole Sign $150
___Closest to the Pin $200
___Longest Drive $200
___Golf Balls for Golfers $300
___Chartered Bus $500
___SPECIAL—Foursome & Hole Sponsor $700, [SAVE $50]
Sponsorships Total $_______
# of Golfers______ @ $150 ______
Golfers Total $_______
GRAND TOTAL $_______
____Check enclosed (Paid to: LaSalle Academy/Dempsey’s Golf Outing)
____Charge to Credit Card: ■ Amex
■ MC
■ Visa
Card #______________________________________________
Security Code__________________________Exp. Date _________
Name on Card _________________________________________
Card Billing Address _____________________________________
Signature ___________________________________________
Committee
Brendan Clinksales, Dempsey’s Pub
646-761-2429
Tom O’ Byrne, Dempsey’s Pub
917.716.4590 • info@dempseysnyc.com
Matt Kunkel, La Salle Academy
212.473.7352 • mkunkel@lasalleacademy.org
Jim Prendergast, Our Planner – La Salle Alumni
212.217.6824 • jwpdirect@gmail.com
Colin Stewart, Slainte Bar and Lounge
917.617.2818 • info@slaintenyc.com
Dave Clark, Cooper’s
917.969.9162
REMEMBER
You are helping
some kid make it
through school!
SPONSORED BY
DEMPSEY’S PUB
TO BENEFIT
LaSalle Academy
MONDAY
AUGUST 20, 2012
Pelham Bay Golf Course
Shore Road, Bronx, NY
3rd ANNUAL SECOND AVENUE SCRAMBLE
MONDAY, AUGUST 20, 2012 • PELHAM BAY GOLF CLUB • 12:00-7:00PM
Our Mission
For over 75 years, LaSalle Academy has been educating
young men at 2nd Avenue and 2nd Street, and now at 2nd
Avenue & Sixth Street. Dempsey’s has been serving the
same community on 2nd Avenue for over 20 years. Here
with this third annual Golf Outing, Dempsey’s has found
a way to “give back” and La Salle has found a source of
badly need funds to continue and better their mission. All
of the proceeds will go to LaSalle’s campaign for
scholarships, new teaching equipment and to maintain
their two facilities. All who participate will receive
recognition with signage, and with announcements at the
course. All registrations, sponsorships and gifts are tax
deductible as donations.
Schedule of Events
10:30 AM Meet & Register at Dempsey’s Pub
for coffee and Dunkin Donuts
11:00 AM Leave by Chartered bus for course
12:00 PM Lunch at the Course
Sandwiches, Beer & soft drinks
12:30 PM 18 holes of Golf
playing in the “Scramble” format
6:00 PM
Awards and raffle prize drawings
with Open Bar Cocktail Reception
7:00 PM
Bus back to Dempsey’s Pub
Second Avenue Scramble
Sponsorship Opportunities
■ Luncheon at the Course ..........................................$600
■ Cocktail Hour ........................................................$500
■ Chartered Bus to and from the Course ....................$500
■ Award Trophies ......................................................$300
■ Raffle Prizes ..........................................................$300
■ Golf Balls Sleeve for all ..........................................$300
■ Hole in One Insurance ..........................................$250
■ Closest to the Pin....................................................$200
■ Longest Drive Sponsor ............................................$200
A Few Good Reasons Why
• A lazy summer afternoon at the
best time of the year
• A friendly golf course close to home
• Hanging out with 50 or more
Dempsey friends
• The price is right –
only $150 per person
• A chance to win some huge prizes,
even some cheers
• A good lunch to start the round
with plenty of “suds”to wash it down
• A fun way to give to a school
that graduates 99% of its students
every year
■ Hole Sign at the Tee ..............................................$150
Choose one or more here. Indicate on Registration Form or
separately.
All sponsorships will be recognized with signage on the
course, in the dining areas, and at Dempsey’s, as well as
from the “mike” during the awards ceremony. There will
also be local press coverage with companies and individual
givers names. All donations are tax deductible to the full
extent allowed by law.
Make a Donation
We welcome any Gifts you may want to donate. They will be
used as raffle prizes or contest awards during the day.
Prize Raffles can be, Golf Gifts, Balls, Clubs, Towels, Shirts,
Jackets, Electronics, gift cards. Or any item that might be
appropriate. Make a cash donation of $50 or more. Every
little bit can make a big difference.
SIGN UP BY AUGUST 2 AND GET A FREE GIFT
Can’t Attend –
You can still be part of it
We will have a 50 – 50 drawing at the course after the
golf. It’ll be $10 per ticket. If yours is the winning ticket,
you’ll receive half - 50% of the money raised. All are
welcome to be in it. Should be quite a pot. Stop by
Dempsey’s, Cooper’s or Sliante to fill out your entry.
Registration to Play
Just complete the form here with your credit card info,
or a check made out to:
La Salle Academy/Dempsey’s Golf Outing
Get your registration into one the of the following:
1) Dempsey’s – 256 Second Avenue, NY, NY 10003
2) La Salle Academy – 44 E. Second Street, NY, NY 10003
3) Slainte – 304 Bowery, NY, NY 10003
4) You can register online at www.lasalleacademy.org
5) Fax the completed form to 212-217-6824