Golf Scramble 2023 Personal InfoName(Required) First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Golf ScrambleRegistration Type(Required) Individual Registration - Free will Donation Hole Sponsor - $300 (includes golf for 1) Team Registration - $400 (includes a team of 4) Clubhouse Sponsor - $500 (includes golf for 2) Event Sponsor - $1000 (includes golf for 4) Partner - $2500 (includes golf for up to 2 teams) Name For Sponsorship Listing Free Will Donation Teams(Required) I am on a team Please place me on a team Please list each team member's name, excluding yourself. Groups with less than 4 golfers will be combined by the event organizers. Team Member 1 Team Member 2 Team Member 3 Team Member 4 Team Member 5 Team Member 6 Team Member 7 HiddenIf you are on a team: Who will you be golfing with?Dinner ChoicePlease list the number of each meal choice for your team, including yourself. You may also include meals for additional guests who are joining for the dinner. Top Sirloin QtyTop Sirloin Gluten Free QtyBroiled Walleye QtyBroiled Walleye Gluten Free QtyPaymentTotal I would like to(Required) Make my donation online Make a donation on the day of the event Credit CardCard Details Cardholder Name
