In Memory of Alyssa Gagne

Millis Boosters Golf Tournament

Saturday September 22nd 2012
The Glen Country Club ~ 84 Orchard Street Millis MA
Alyssa was a bright, beautiful, compassionate young woman beginning the career of her dreams
as an O.R. Nurse at Faulkner Hospital when she died of a cardiac arrhythmia. Please join us in
continuing Alyssas compassion by raising scholarship funds for a Millis High School
student pursuing a health care career.

Registration 12:30pm
Shotgun start at 1:30pm

Please join us for an enjoyable day! If youd like to contribute by sponsoring a hole,
playing, or joining us for dinner; please fill out the information below. Please make checks
out to Alyssa Gagne Memorial Fund and mail to:
Keith Gagne
17 Spruce Pond Road
Franklin MA 02038

Checks must be received no later than September 10th

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_____ $125.00 includes greens, fee, cart, dinner, prizes

_____ $125.00 for sponsorship of tee box or green
_____ $30.00 for dinner only
_____ I cant attend but Id like to make a donation.
Name: ___________________________________
Address:
Phone: ______________________________ email:
____________________________
If youd like to play in a foursome, please list the names of the players here:
1. ____________________________

2. ____________________________

3. ____________________________

4. ____________________________

Thank you for supporting the Alyssa Gagne Memorial Fund

Keith Gagne (508) 520-4024 kagmill@yahoo.com