Niners Couples Scramble Form

Couples Scramble Sign-Up & Pay

Golf openings are limited to 76 players, after that is reached, additional signups will be waitlisted.
Handicaps are not required to play golf
Non-Refundable
Deadline is the Tuesday prior Scramble date

Complete and pay for the upcoming Couples Scramble event here.

Member Name

First Last

Member Email

Partner Name

First Last

Do you want to be paired with others? if so write their names below

Option

Credit Card/Paypal

Check

If you wish to pay for your guest, include in the quantity boxes below.

Charbonneau Golf Club Membership Greens Fee Pass

Price: $0.00

Golf

Price: $28.00

Credit Card/Paypal Fee

Total (includes processing fee)

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

I understand to drop my check off at the Pro Shop

Yes

No