Golf Scramble Registration

Registration *Gold Package: $1700 (Foursome + Website Listing + Sign at Tee Box + Promo at Meal & Awards + Website Recap + Newsletter + Social/Electronic Materials)Silver Package: $1200 (Foursome + Website Listing + Signage at Tee Box + Promo at Awards + Website Recap + Newsletter)Bronze Package: $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

Player Address *

City *

State *

Zip Code

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

Business Name

Business Website

Business Facebook Link

Which round would you prefer? *8:30 am2:00 pm

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.

Credit / Debit Card *

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.

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Lifehouse Maternity Home

501(c)(3) organization
EIN: 20-8514733

Contact

(502) 897-1655
lifehouse@lifehouselouisville.org

Address

2710 RIEDLING DR,
LOUISVILLE, KY 40206