JDRF Golf Scramble

Name of person booking

First NameLast Name

Email

example@example.com

Phone Number

Flight Preference

Registration Fees

Golf Team$1,000.00

teams

Diamond Sponsorship$1,500.00

• 4' x 5' sign with company logo• Website listing for a year as a diamond sponsor• Sponsorship VIP gift - a foursome at Covered Bridge on a date different than the golf scramble

Platinum Sponsorship$1,250.00

• 4' x 5' sign with company logo• Website listing for a year as a platinum sponsor

Gold Sponsorship$750.00

• 17" x 24" sign with company logo

Silver Sponsorship$500.00

• 16" x 17" sign with company logo

Pewter Sponsorship$250.00

• 5" x 7" sign with company logo placed in individual carts or recognition on cart sponsors sign located near the cart parking

Multi Event Diamond Sponsor$3,000.00

Sponsor 2 events and choose an additional event for no additional cost. Please submit 3 events would like to sponsor.

Multi Event Platinum Sponsor$2,500.00

Sponsor 2 events and choose an additional event for no additional cost. Please list 3 events wish to sponsor.

Multi Event Gold Sponsor$1,500.00

Sponsor 2 events and choose an additional event for no additional cost. Please list the 3 events you wish to sponsor .

Total $0.00

Names and emails for Team 1

Names and emails for Team 2

Ignore if only registering one team

Multi Event Sponsor (list 3 events wish to sponsor)

Ignore if not doing a multi event sponsorship

Do you require a tax invoice?

YesNo

By selecting the submit bottom, you will be exiting the FordKTPcares site and linking to the JDRF donation portal.

Please remember your total for use on the Breakthoigh TD1 donation portal.
Select one time donation - enter your total in the custom entry
Select Ford KTP golf scramble from the drop down event menu and enter 6/22/25 as the date.

List your Team Members