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Play For Jake Golf Outing Registration Form 2022
Your attendance supports our mission to raise awareness for undetected heart conditions in our youth and sudden cardiac death through heart screenings, AED donations, legislative policies and more
5
Questions
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1
Your Full Name
*
This field is required.
First Name
Last Name
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2
Your Email
*
This field is required.
example@example.com
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3
Availability for the afternoon group only
*
This field is required.
There are a total of 44 available foursomes for the entire day. 22 in the morning and 22 in the afternoon.
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4
Enter the members of your foursome
*
This field is required.
Please enter the names and emails of your team, including yourself. Emails for
ALL golfers are REQUIRED
so that shirt sizes can be ordered before the outing, as well to provide important updates and logistics regarding the event.
First Name
Last Name
Email
Shirt Size
Your Info
Member 2
Member 3
Member 4
Your Info
Member 2
Member 3
Member 4
First Name
Last Name
Email
Shirt Size
First Name
Last Name
Email
Shirt Size
First Name
Last Name
Email
Shirt Size
First Name
Last Name
Email
Shirt Size
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5
Calculated Total
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6
Total
*
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( X )
Total amount that will be paid for foursome registration
USD
+ OR enter a custom value
Credit Card
First Name
Last Name
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