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20
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1
Registration or Donation
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Player Registration
Event Donation
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2
Parent/Guardian Name
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First Name
Last Name
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3
Parent/Guardian Contact Information
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Phone Number
Email
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4
Contact Information
Phone Number
Email
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5
Company Name (if Sponsoring)
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6
Upload Company Logo
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7
Player Name
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First Name
Last Name
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8
Date of Birth
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Date
Day
Month
Year
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9
Gender
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Male
Female
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10
Graduation Year
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11
Social Media Handles
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12
Player T-shirt/Hoody Size
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13
Player Headshot (.jpg or .png)
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14
Address Information
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15
Street
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16
City
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17
State
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18
Zip
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19
By checking this box I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs or videos for the player named above. I also grant to the LEO Golf Academy and the Legacy Golf Championship the right to edit, use, and reuse said products for nonprofit purposes including use in print, on the internet, and all other forms of media. I also hereby release the LEO Golf Academy and the Rosa Parks Junior Golf Classic and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
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20
My Products
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Register a player or donate to The Rosa Parks Day Junior Golf Classic
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My Bag
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My Bag
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Great Product Name
$20
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1
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Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Register Player
$
195.00
+
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Back
Platinum Level: Title Sponsor, Ad in 2023 Rosa Parks Day Souvenir Journal; Sponsor 4 Players
$
2,500.00
+
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Back
Gold Level: Ad in 2023 Rosa Parks Day Souvenir Journal; Sponsor 2 Players; Sponsor Banner
$
1,000.00
+
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Silver Level: Sponsor 1 Player and Sponsor Banner
$
500.00
+
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Bronze Level: Sponsor Banner
$
250.00
+
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Cooper Sponsor: Tournament Banner
$
100.00
+
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Patron Level: Acknowledgement in 2023 Rosa Parks Day Souvenir Journal
$
50.00
+
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Donate $25
$
25.00
+
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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