Thank you for your support of the 2023 3rd Annual Jim Spruiell Memorial Scholarship Golf Scramble.

*Includes: 4-man team, green fees, cart & snacks


Includes a team signage & sponsor's logo. Included in all golf bags.
Includes 2 team entries, Premium signage
Includes 1 team, and lunch signage.
Signage on beverage cart


Player 1
Shirt Size (Player 1)
Player 2
Shirt Size (Player 2)
Player 3
Shirt Size (Player 3)
Player 4
Shirt Size (Player 4)


$ 0.00
To complete your registration and pay by credit card, enter the above amount due along with your credit card information on the following pages.

Or print the form above


Mail your registration form to:
Health Care Foundation
830 S. Gloster St.
Tupelo, MS 38801

Forms may also be dropped off at the HCF office, 1016 N. Gloster St., Tupelo

Contributions to the Health Care Foundation
are tax deductible as allowed by law.

Please contact the HCF office with questions or further assistance: or 662-377-3613