INDIVIDUAL REGISTRATION FORM

SALFASS GOLF TOURNAMENT

September 5th and 6th, 2009
Indiana National Golf Club at Swan Lake
Plymouth, IN

NAME: _________________________________________________________________

STREET ADDRESS: ______________________________________________________

______________________________________________________

CITY: _________________________________ STATE: _____________ ZIP: ______________

TELEPHONE: __________________________ EMAIL: _________________________________

HANDICAP: __________ CLASS: ____________ CLASSES

MASTER'S: 0 – 7.9
YEAR OF BIRTH (SENIORS / JUNIORS) : ___________ MEN'S A: 8 – 14.9
MEN'S B: 15 – 20.9
INDIVIDUAL REGISTRATION FEE: $45.00 (U.S. FUNDS) MEN'S C: 21 – 26.9
MEN'S D: 27 and above
TEAM REGISTRATION FEE: $50.00 (U.S. FUNDS) Team ___________
WOMEN'S A: 0 – 29.9
SUNDAY AWARDS BANQUET: (Number Attending) __________ WOMEN'S B: 30 – 44.9
WOMEN'S C: 45 and above
BANQUET: $40 (US) ADULT - $20 UNDER 12 Banquet Total $__________

Payable now or at check in : (all cash payouts) Check Total $__________ JUNIOR'S A: 14 – 18 (yrs)
JUNIOR'S B: 13 and under
Chipping - $5 Putting - $5
SENIOR'S A: 60 – 69 (yrs)
Saturday Skins - $10 Sunday Skins - $10 (modified NET scoring) SENIOR'S B: 70 and above

ENCLOSE CHECK OR MONEY ORDER PAYABLE TO

C.L.G.K.
c/o Linas Cepele
9 Melshane Ct.
Lemont, IL 60439

For additional info or questions: Linas Cepele (630) 460-5588 lcepele@hotmail.com

Rytas Kleiza (815) 258-3170 kleiza@comcast.net

*** REGISTRATION AND PAYMENT DUE BY AUGUST 12, 2009 ***

Registration Check-In and Hospitality will be at the Fairway House on Friday from 6 – 10 pm.
Hospitality will include Lithuanian Food (Kugelis, Desra, Kopustai, Salad). This is a BYOB event! (bring
your own booze) Pop, juice, water, coffee and mix will be provided.

There will be a chipping, putting and long drive contests starting around 30 minutes after the completion of the
Saturday round at the Driving Range/Practice Greens. Chipping is $5 and Putting is $5. All the money collected
will be paid out as prize money. The Long Drive Contest is free and will included Women/Men/Senior/Junior.

The SKINS game is $10 per day. You can sign up with your registration (preferred) or when you check in.
The SKINS game will be a modified NET scoring, utilizing approximately 2/3rds of your handicap.
The cutoff for signing up for the Saturday SKINS Game is Friday 10 pm at the Fairway House.
The cutoff for signing up for the Sunday SKINS Game is Saturday 5 pm at the Fairway House/Driving Range.
The Fairway House will also be open on Saturday from 2 – 5.
Sept 5 - Saturday 8 am (EST) Shotgun Start – BLACK COURSE
Sept 6 - Sunday 9 am (EST) Shotgun Start – BLACK COURSE
Practice Balls at the driving range are included.
Thursday – Sunday $50 per round with GPS cart ( $25 for same day replay )
Awards Banquet will begin around 4pm (EST) at the Golfer’s Dining Room.

PLEASE NOTE THAT THE CUTOFF DATE FOR HOTEL RESERVATIONS IS Aug 11th 2009
 Directions & Information
Swan Lake Resort is located 30 miles Southwest of South Bend, Indiana

CHICAGO – Travel Time: 2-2 ½ hours Approx. 100 miles

Directions: Take the Tri-State East 294, to the Indiana Toll Road. Take the Indiana Toll Road East to SR-49
South Chesterton Exit #31. Go South on SR-49 to US-30 East. US-30 is located on the east side of Valparaiso.
Swan Lake Resort is 50 minutes from the SR-49/US-30 exit. Watch for our signs and at Redwood Road turn left.
At the stop sign, turn left onto Plymouth-LaPorte Trail. Swan Lake Resort is 4 miles on the left.

DETROIT – Travel Time: 4 ½ hours Approx. 235 miles

Directions: Take I-75 to the toll road (80/90). Take I-80/90 West to the US-31 South bypass, exit #72. (Do not
take exit #77; this is the downtown South Bend exit.) Take US-31 South to US-30 West, the Valparaiso exit.
Stay on US-30 going past the Plymouth exit and the Oak Road intersection (K-Mart/Wal-Mart). Continue on
US-30 for 2 ½ miles and turn right at the Shell Gas/Stop Light at Queen Road and then make an immediate left
onto Plymouth-LaPorte Trail. Swan Lake Resort is located 4 miles on the left.

COLUMBUS, OHIO – Travel Time: 4 ½ hours

Directions: Take I-70 West to I-75 North to Lima. Then take US-30 West to Fort Wayne. Take the US-30
bypass (I-469) around Fort Wayne. Stay on US-30 going past the Plymouth exit and the Oak Road intersection
(K-Mart/Wal-Mart). Continue on US-30 for 2 ½ miles and turn right at the Shell Gas/Stop Light at Queen Road
and then make an immediate left onto Plymouth-LaPorte Trail. Swan Lake Resort is located 4 miles on the left.

CLEVELAND, OHIO – Travel Time: 5-5 ½ hours

Directions: Take I-80/90 West to the US-31 South bypass, exit #72. (Do not take exit #77; this is the downtown
South Bend exit.) Take US-31 South to US-30 West, the Valparaiso exit. Stay on US-30 going past the Plymouth
exit and the Oak Road intersection (K-Mart/Wal-Mart). Continue on US-30 for 2 ½ miles and turn right at the
Shell Gas/Stop Light at Queen Road and then make an immediate left onto Plymouth-LaPorte Trail. Swan Lake
Resort is located 4 miles on the left.

CINCINNATI, OHIO – Travel Time: 4 hours

Directions: Take I-74 West to I-465 (going North) to US-31 North to US-30 West (Valparaiso exit). Stay on US-
30 going past the Plymouth exit and the Oak Road intersection (K-Mart/Wal-Mart). Continue on US-30 for 2 ½
miles and turn right at the Shell Gas/Stop Light at Queen Road and then make an immediate left onto Plymouth-
LaPorte Trail. Swan Lake Resort is located 4 miles on the left.

INDIANAPOLIS, IN – Travel Time: 2½ hours Approx. 130 miles

Directions: Take US 31 North for approximately 120 miles. Take the US 30 W exit (towards Valparaiso). Stay
on US-30 going past the Plymouth exit and the Oak Road intersection (K-Mart/Wal-Mart). Continue on US-30
for 2 ½ miles and turn right at the Shell Gas/Stop Light at Queen Road and then make an immediate left onto
Plymouth-LaPorte Trail. Swan Lake Resort is located 4 miles on the left.

SOUTH BEND AIRPORT - Travel Time: 35 minutes

Directions: Coming out of the airport, go right at the stoplight (West onto Lincolnway). Go 1 ½ miles to SR-20
bypass/Plymouth exit (first exit after going under the overpass). Take the SR-20 bypass to US-31 South to US-30
West (Valparaiso exit). Stay on US-30 going past the Plymouth exit and the Oak Road intersection (KMart/
Wal-Mart). Continue on US-30 for 2 ½ miles and turn right at the Shell Gas/Stop Light at Queen Road and
then make an immediate left onto Plymouth-LaPorte Trail. Swan Lake Resort is located 4 miles on the left.

5203 Plymouth-LaPorte Trail, Plymouth, IN 46563

PHONE: (574) 935-5680 FAX: (574) 935-5087
Indiana National Golf Club(574) 936-9798 Sam Snead’s Tavern & Grill (574) 935-5565