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New registration for
21st Annual Golf Outing August 2, 2026
08/02/26
Your Information
*
Name
*
Email
Zip code
Additional Questions
Attendee #1 First Name (required)
Attendee #1 Last Name (required)
Attendee #1 Address (required)
Attendee #1 Phone Number (required)
Attendee #1 Email Address (required)
Attendee #2 First Name (optional)
Attendee #2 Last Name (optional)
Attendee #2 Address (optional)
Attendee #2 Phone Number (optional)
Attendee #2 Email Address (optional)
Attendee #3 First Name (optional)
Attendee #3 Last Name (optional)
Attendee #3 Address (optional)
Attendee #3 Phone Number (optional)
Attendee #3 Email Address (optional)
Attendee #4 First Name (optional)
Attendee #4 Last Name (optional)
Attendee #4 Address (optional)
Attendee #4 Phone Number (optional)
Attendee #4 Email Address (optional)
Would you like to donate a prize?
Do you have any interest in becoming a sponsor?
Event Payment Details
Payment Information
Card Holder's Name
Required
Card Number
Required
CVC
Required
Expires (MM/YYYY)
Required
Zipcode
Required
Extras
Golf Event: Sponsorship (enter dollar amount)
$
Golf Event: Mulligans (enter # of people: 1,2,3 or 4)
($5.00 each)
Golf Event: Putting Contest (enter # of people: 1,2,3 or 4)
($10.00 each)
Golf Event: Skins team registration (Enter 1)
($30.00 each)
Golf Event: Dinner Only (enter # of people)
($60.00 each)
Golf Event: Individual Player Fee (enter # of people: 1,2 or 3)
($250.00 each)
Golf Event: Foursome Player Fee (Enter 1)
($950.00 each)
Total
0
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