Theta Xi 1st Annual " Scramble for TARC"

Golf Tournament

Location Carter Plantation

Springfield, Louisiana

Date Friday, November 13, 2009

Registration Time Team Check in at 8am

Team Captain _________________________________________________________________

Address _________________________________________________________________
City, State _________________________________________________________________

Phone Number (_____)__________________________________________

Email Address ________________________________________________
Check # _______________ Amount $__________________

Tournament Entry Fee is $150 per person. This is a four man Scramble so list all team members
Includes: Green Fees, Golf Shirt, Dinner - Appetizer, Entrée (USDA Choice Ribeyes), Dessert & drink Drinks all day, beer,
sodas & bottled water, snacks all day, and Three self serve stations, shrimp trays and gumbo
Non Participating Golfers can attend and eat the dinner for $50.00
Name ____________________________ Email Address _______________________________
Phone # _______________________ Check Amount $______________________________
Dinner Registration Fee includes a seat at the awards banquet following tournament and all snacks
and beverages throughout the day are included in the $50.00 Fee!
Team Name ____________________________________________________________ REQUIRED
Player #1 ____________________________________________________________ Shirt Size ________________
Player #2 ____________________________________________________________ Shirt Size ________________
Player #3 ____________________________________________________________ Shirt Size ________________
Player #4 ____________________________________________________________ Shirt Size ________________

Tournament is playing Best Ball. Winning Team wins $500 cash prize donated by Bell Foods.
Make all Checks Payable to: Theta Xi
Attn: Dave Seighers
3309 Tartan Dr
Metairie, LA 70003

http://www.tarc-hammond.com

Contact Shane Nicaud with any questions by email at SN@BELLFOODS.NET

Serving people with disabilities and their families

MISSION STATEMENT
The mission of TARC is to provide opportunities for children and adults with
disabilities to realize their full potential, to fulfill their gifts and talents, and
to become self-directed and contributing citizens

EARLY INTERVENTION PROGRAM COMMUNITY SUPPORTS & SERVICES PROGRAM

Early Intervention for babies Independent living support for adults with
and toddlers with special Special needs.
needs or development delays. MEDICAID WAVIER SERVICES PROVIDED:
Personal Care Services
 Special Instruction
 Children’s Choice
 Physical Therapy
 EPSDT
 Speech Therapy
 Long Term Care
 Occupational Therapy
 Elderly Disabled Wavier
 Licensed Professional Counselor, Licensed Marriage &
 New Opportunities Wavier
Family Therapist
 Family Support
 Home & Center Based Settings
 Supported Independent Living
 Local Area Transportation
 Support Groups
APPROVED PROVIDER FOR:
 Parent Trainings Louisiana Children’s Choice Services
 Crisis Support
Michelle Calderone
Director of Programmatic Services  Family Training
mcalderone@tarc-hammond.com  Diaper Acquisition
 Environmental Modifications
 Vehicle Adaption's

KID’S ‘R’ US Michelle Calderone

Director of Programmatic Services
mcalderone@tarc-hammond.com
EARLY LEARNING CENTER
a division of TARC
DURABLE MEDIAL EQUIPMENT PROVIDER

 Licensed Class A Daycare Top Quality Durable Medical Equipment for

 Open 7:00am - 6:00pm Medicaid Eligible Recipients
 Low Child/Staff Ratios Equipment & Supplies we offer:
 Inclusive Settings for Children of all Abilities
Wheelchairs ~ Walkers ~ Hospital Beds ~ Enteral Supplies ~ Diapers
 Childcare Assistance Program Provider Catheters ~ Patient Lifts ~ Bedside Commodes ~ Shower Chairs
 Structured Curriculum Trapeze Bar
 Computer Center

Jodie Gieseler,
Yvonne Saltzman DME Specialist
Program Director Jodie@tarc-hammond.com
Yvonne@tarc-hammond.com 985.345.8811
985.345.3331