Registration
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Come join us for a fun day of golf, lunch, and prizes! 4 Man Scramble. 7am Shotgun Start. Includes Golf, Cart, and Lunch! Event held at the Superstition Springs Golf Club.
Event:
Start Date/Time:
End Date/Time:
Fee per Family:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
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Father
Grandparent
Mother
Other
Parent
Self
Sibling
Step-Father
Step-Mother
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
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AL
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CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
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LA
MA
MD
ME
MI
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MO
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NJ
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NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
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Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Questions/Options:
Players Name
*
Teammate Requests?
Additional Information:
Non-Refundable Deposit Agreement
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By registering for the Golf Tournament Fundraiser, I understand that a $50 non-refundable deposit will be charged to the credit card provided within 48 hours of registration unless the full balance is paid today. I acknowledge that this deposit is non-refundable and will secure my spot in the tournament. If I choose not to pay the full balance today, the remaining amount will be due as outlined in the second agreement (Balance Payment Agreement).
By proceeding with this registration, I agree to these terms and authorize the $50 non-refundable deposit charge.
I've read the above and agree.
Automatic Balance Payment Agreement
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By registering for the Golf Tournament Fundraiser, I authorize the organizer to automatically charge the remaining balance on the credit card provided on July 25th. This charge will be for the full remaining amount of my tournament registration, unless I have already paid in full prior to this date. I acknowledge that failure to settle the balance before July 25th may result in my spot being forfeited.
By proceeding with this registration, I agree to these terms and authorize the automatic charge to my card on file on July 25th.
I've read the above and agree.
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