Foundation Golf Team or Team and Sponsorship Form

Current Method of Payment
Complete

Company or Team Name

Preferred tee time - Early registration qualifies team for choice of tee time.

8 a.m. shotgun start (7 to 8 a.m. registration)

2 p.m. shotgun start (1 to 2 p.m. registration)

Type of Sponsorship (One mulligan package included with any team sponsorship)

$1,200 team and tee box sponsor

$1,100 team and event sponsor

$650 team sponsor

Extra mulligan packages

Number of Extra Mulligan Packages at $80 each

Total Cost of Mulligans ($80 each)

Number of Super Ticket-White at $400 per team (each player can play all six games)

Number of Super Ticket-Green at $200 per team (each team selects three games that all members will play)

Total Amount Due (Registration plus cost of mulligans and super ticket)

Player Information

Player 1 First Name

Player 1 Last Name

Address

City

State

Zip Code

Phone Number (Insert Numbers Only)

Average Score or USGA Handicap

Player 2 First Name

Player 2 Last Name

Address

City

State

Zip Code

Phone Number (Insert Numbers Only)

Average Score or USGA Handicap

Player 3 First Name

Player 3 Last Name

Address

City

State

Zip Code

Phone Number (Insert Numbers Only)

Average Score or USGA Handicap

Player 4 First Name

Player 4 Last Name

Address

City

State

Zip Code

Phone Number (Insert Numbers Only)

Average Score or USGA Handicap

Preferred Method of Payment

PayPal or credit card (you will be taken to the PayPal page after you click submit)

Check (Please contact the Foundation at 308-630-1485, or at alica.palu@rwhs.org after clicking the submit button)

Primary Care

Urgent, Emergent, and Trauma Care

Specialty Care

Foundation Golf Team or Team and Sponsorship Form

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