Golf Tournament Registration Form

Registration

I am signing up:

As an individual As a team As a sponsor

If signing up for a Team- please list Team Captain as Player 1.
If signing up as an individual, skip questions for Players 2-4.
If singing up as a Sponsor- write "N/A" as Player one and skip questions for Players 2-4.

Name (Player 1)

Email (Player 1)

This address will receive a confirmation email

Phone (Player 1)

Address (Player 1)

For Teams: (list Team Captain as Player 1)

Name- (Player 2)

Email- (Player 2)

Phone- (Player 2)

Address- (Player 2)

Name- (Player 3)

Email- (Player 3)

Phone- (Player 3)

Address- (Player 3)

Name- (Player 4)

Email- (Player 4)

Phone- (Player 4)

Address- (Player 4)

Sponsoring a Hole

Companies are invited to sponsor a hole for $100.
For teams sponsoring a hole, the cost for Team Registration + Hole Sponsorship is $400.
Payment can be made here, but a seperate sponsorship form will be sent to the e-mail listed for 'Player 1.'
(Other cash donations and prize donations are greatly appreciated.)

Sponsorships: Not at this time Company Sponsorship Team Sponsorship I would like to make a Cash Donation I would like to supply a Prize Donation

Payment

Payment- for Individual

Payment- for Teams

Payment- for Sponsorship

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 1, 2020, 8:00am

Saturday, August 1, 2020 (Cancelled only for lightning)
Country Creek Golf Club “The Rock”
Make Up Date—
August 8, 2020
Registration begins at 7:00 am, Start at 8:00 am

18 Hole/4 Person Scramble/Reverse Shotgun Start
Entry Fee: $75/person, $300/team (includes green fees, cart, light breakfast and taco salad lunch)
Mulligans available for purchase $5 for 1, $10 for 3 with a with a maximum of 1 per person per hole

Proceeds raised from this tournament will go to assist with Medical, Education and Nutritional needs for the Community of La Ceiba in Nicaragua.

Call or email Jim Johnson 816-665-2009 or james.r.johnson1968@gmail.com for more info.

Please fill out this form and click submit.

Golf Tournament Registration Form

Description

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