32nd ANNUAL SD MINES ALUMNI WEEKEND

REGISTRATION FORM – 2011

Friday and Saturday, April 29 & 30

Name: ____________________________________________________________

Address: ___________________________________________________________

City: __________________________________State_______________ Zip_______

Day Phone:_______________________ Evening Phone: ____________________

Email: _____________________________________________________________

Year Graduated: ______ Degree: _______________ Last Yr Played: _______

Select The Events You Wish To Participate In

Friday, April 29, 2011 - 11 AM at Hart Ranch Golf Club

SD Mines Alumni 4-Man Scramble Golf Tournament $115.00

(Includes barbecue, green fees & cart, prizes and gift)

List Four Person Team Members: (1) ______________________(2)______________________

(3)__________________________________ (4) ______________________________________

Women’s “Pickup” Basketball Game 5 pm No Charge

(Friday, April 29)

Men’s “Pickup” Basketball Game 6 pm No Charge

(Friday, April 29)

Women’s Alumni Volleyball Game 10 am No Charge

(Saturday, April 30)

Alumni Football Game 1 pm

(Saturday, April 30) Jersey Number ______

TOTAL COST: ________________ (make checks payable to Hardrock Club and mail to:

Hardrock Club, 501 E. St. Joe Street, Rapid City, SD 57701)

We will have an update in the Christensen Hall of Fame on the NCAA DII transition on Friday

night beginning at 6:30pm with food and drink and the update at 7pm. Please join us for

important info.