Corn Hole Tournament Registration 2024

Corn Hole Tournament

September 9, 2024, 6:30pm | Kalahari Resort, Round Rock, TX
Fundraiser benefitting the Texas Homecare & Hospice PAC

Corporate contributions prohibited by law.
Please use personal funds or funds from a tax partnership.
PAC Eligibility*

I am a member of TAHC&H and eligible to contribute to the PAC.
Name*

First NameLast Name
Occupation*
Required by Texas Ethics Commission.
Agency/Company*
Required by Texas Ethics Commission.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Zip Code
Email*
example@example.com
Team Name:
Get creative!
Participant Name(s):
Please list the first & last names of every person you are paying for
What portion of your registration fee would you like given to each fund?*

100% State100% Federal50% State and 50% Federal60% State and 40% Federal40% State and 60% FederalCustom: Please list percentages below.

Eligibility for Federal Donations*

I am upper level management at my agency. Please note only upper level management of TAHC&H member organizations are allowed to contribute the federal PAC due to election law. Any TAHC&H member can give to the state PAC.
FEC States that “The Corporate Member may only approve solicitation by one trade association per calendar year. If you have previously approved solicitations by another trade association for any of the calendar years listed below you are NOT eligible to contribute to our Federal PAC.
Please check the statement that best describes your business:*

My business is NOT incorporatedMy business is incorporated or is a Limited Liability Company (LLC) reported to the Internal RevenueService as a corporation. I therefore authorize the TEXAS HOMECARE & HOSPICE PAC to requestfunds from me and my eligible management as determined by me or my organization for contributionfor the year designated and signed below.
It is operated as a:*

Sole ProprietorshipGeneral PartnershipLimited Liability PartnershipLimited Liability Company reported to the Internal Revenue Service as a Partnership
2024

Clear
Only personal funds or funds from a tax partnership or unincorporated business as required by law. Corporate contributions are strictly prohibited by law.

Contributions or gifts to the Texas Homecare & Hospice PAC are not tax deductible.

I declare that the above information is true and accurate to the best of my knowledge, information and belief.
Signature*

Clear

Registration Fee: (personal funds only; no corporate funds allowed)*

Team RegistrationIncludes tournament registration, dinner and one drink ticket each for TWO people.

$500.00 Number of Teams

Individual RegistrationIncludes tournament registration, dinner and one drink ticket for one person. Individual will be paired randomly with another tournament individual for the competition.

$250.00

SpectatorIncludes dinner & one drink ticket

$100.00 Quantity

Add On: Sinker ChallengeMust be purchased with a Team, Individual or Spectator Admission. Price does not include entry into the event. Chance to toss 15 bags. Person who sinks the most bags wins!

$100.00 Quantity

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: