Golf Scramble Registration

Registration *Gold Bundle: $1700 (Foursome + Website Listing + Sign at Tee Box + Promo at Meal & Awards + Website Recap + Newsletter + Social/Electronic Materials)Silver Bundle: $1200 (Foursome + Website Listing + Signage at Tee Box + Promo at Awards + Website Recap + Newsletter)Bronze Bundle: $850 (Foursome + Website Listing + Signage at Tee Box + Website Recap + Newsletter)Foursome: $600 (non-sponsor/team-only)Individual: $150 (non-sponsor/playing with a team but paying individually)

PlayersPlease add the names and contact information for your other team members, if you have it. Otherwise, we will contact you to follow up.

Player First Name *

Player Last Name

Player Email *

Player Phone

Mulligan for this Player? ( $10) *YesNo, thanks

Business Name

Business Website

Business Facebook Link

Hole Sponsorship Opportunity$300

I'd like to help with the credit card processing fees *Yes, I'm happy to help (I understand that my card will be charged 3% on top of my total donation)No, thank you

Total Registration

If you are registering individually as part of a team please provide team name or captain, or note any additional questions or comments here.

Payment MethodCardCheck

Credit / Debit Card *

Mail to 2710 Riedling Dr, Louisville, KY 40206

Email address where you would like to receive a receipt

Confirm Email Address

This is a charity event to benefit Lifehouse Maternity Home.

No refunds will be issued.

Thank you for your support!

Please do not fill in this field.

Rain checks will be provided