Dr. George Bark Golf Outing and Fundraiser

Schedule of EventsJoin Gibson Area Hospital on Illinois’ finest 12-hole golf course for a four-player scramble at the 2nd Annual Dr. George Bark Golf Outing and Fundraiser.

Morning Flight8:00 am . . . . . . . . . . . . . . . . . . . . . . . Breakfast9:00 am . . . . . . . . . . . . . . . . . . . Shotgun Start11:30 am - 12:45 pm . . . . . . . . . . . . . . LunchFollowing PM Flight . . . . . Dinner/Awards

Afternoon Flight11:30 am - 12:45 pm . . . . . . . . . . . . . . Lunch1:00 pm . . . . . . . . . . . . . . . . . . Shotgun StartFollowing PM Flight . . . . . Dinner/Awards

Each Entry Includes• Entry Fee/Green Fees• Free Practice Range and Balls• 2 Beverage Tickets per Golfer• Lunch• Dinner• Gifts• Team Photos

Golf Rain Date:Thursday, June 20, 2019

*Dinner will be Friday, June 14th regardless of the weather

Friday, June 14, 2019Railside Golf Club

120 W. 19th Street Gibson City, IL 60936

The 2nd Annual Dr. George Bark took great pride in being a family physician at Gibson Area Hospital. He provided quality care to his patients

and was passionate about teaching rural

medical students.

In addition to his enthusiasm for rural medicine, he loved the Chicago Cubs, Fighting Illini, golfing, and competitive barbecuing.

In honor of his support and advocacy for rural medicine, the proceeds from this memorial golf outing will be utilized to promote rural health by funding a scholarship for a rural health provider.

Dr. George Bark Golf Outing and Fundraiser

BN0001-0319

Railside Golf Club120 W. 19th Street • Gibson City, IL 60936

217-784-5000www.railside.com

Sponsorships How to Sign Up Thank You For Your SupportCompany

ContactEmailPhoneAddressCity State Zip

You can register and pay online with your credit card at:

www.gibsonhospital.org/foundationor complete this form and fax or mail it to:

GAH Foundation1120 N. Melvin, Gibson City, IL 60936

217-784-2602 (phone) 217-784-2610 (fax)Flight Preference:

Morning-$100/Person(9:00am) Afternoon-$150/Person(1:00pm)

Early Bird Discount: Register by May 6th, 2019 and save $25 per golfer

Thank you to all of our sponsors for supporting the 2nd Annual Dr. George Bark

Golf Outing and Fundraiser, including this year’s headline sponsor, Country

Financial. It is your continued support that ensures Gibson Area Hospital can provide

scholarships for rural health providers and continue “Our vision to be THE

model of excellence in community-based healthcare.” We appreciate YOU!

*Sponsorship includes (1) foursome entry.Printing deadline for sponsorships is May 16, 2019

Event Sponsorships: Fly the W* . . . . . . . . . . . . . . . . . . . . . $4,000 Breakfast* . . . . . . . . . . . . . . . . . . . . . $2,000 Lunch* . . . . . . . . . . . . . . . . . . . . . . . . $2,000 Dinner* . . . . . . . . . . . . . . . . . . . . . . . $2,000 GPS/Carts* . . . . . . . . . . . . . . . . . . . . $2,000 Range Balls* . . . . . . . . . . . . . . . . . . . $2,000 Putting Contest* . . . . . . . . . . . . . . . $2,000 Beverage Sponsor* . . . . . . . . . . . . . . $2,000 Hole-In-One Sponsor* . . . . . . . . . . $2,000

Exclusive hole sponsor for a chance to win $10,000 cash

King of Blues* . . . . . . . . . . . . . . . . . $1,750Individual sign on band stage; recognition in all publicity; foursome entry; tax deductible gift

Oskee-Wow-Wow* . . . . . . . . . . . . . $1,500Individual sign on course; exclusive rights to tee; recognition in all publicity; foursome entry; tax deductible gift.

Illini Nation . . . . . . . . . . . . . . . . . . . $1,000Individual sign on course; recognition in all publicity; twosome entry; tax deductible gift.

Smokin’ Q . . . . . . . . . . . . . . . . . . . . . . .$750Individual sign on course; recognition in all publicity; one golf entry; tax deductible gift.

Baby Blues . . . . . . . . . . . . . . . . . . . . . .$300Recognition in all publicity; our thanks for your tax deductible gift.

I cannot attend, but would like to make a donation of $

Headline Sponsor

Dr. George Bark Golf Outing and Fundraiser

Player 1NameAddressCity State ZipPhoneEmail

Will attend dinner

Player 2NameAddressCity State ZipPhoneEmail

Will attend dinner

Player 3NameAddressCity State ZipPhoneEmail

Will attend dinner

Player 4NameAddressCity State ZipPhoneEmail

Will attend dinner