Golf Outing Registration Form

St. Paddy's Charity Golf Scramble Registration

Benefitting ROAR FLORIDA and Individuals with Intellectual & Developmental Disabilities
Time and Place

Friday, March 20, 2026

8:00 AM Shotgun Start

(Please arrive by 7:00 AM)

Cleveland Heights Golf Course

2900 Buckingham Ave, Lakeland, FL 33803
Prizes

1st/2nd/3rd Place Teams

Best Dressed Team

St. Paddy's Attire (men & women)
FOOD

Light Breakfast/Coffee/Juice - 7:00AM

LUNCH

Taco bar - beef, chicken, and vegetarian option

Yellow rice, beans, vegetable medley and salad

Keylime Pie and Cookies
GAMES

Hole in One

Ball Launcher

Heckle Hole

Closest to the Pin

Raffle Prizes

2 YETI Chest of Cheers

50/50

Liquid Putt Challenge
Buyer Name*

First NameLast Name
Buyer E-mail*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Will you donate an auction item for our raffle?
Tell Us About Your Team

St. Paddy's Themed Name
Team Name
Team Captain/Individual Player
Name
Cell Phone Number

Area CodePhone Number
Email
example@example.com
Player #2

First NameLast Name
Cell Phone Number

Area CodePhone Number
Email
example@example.com
Player #3

First NameLast Name
Cell Phone Number

Area CodePhone Number
Email
example@example.com
Player #4

First NameLast Name
Cell Phone Number

Area CodePhone Number
Email
example@example.com
To pay by check please call Christina Peterson at 863-687-0804 ext 2104

Mail to 500 Inspiration Dr.

Lakeland, FL 33805

My Products

1 Foursome$600.00

$600 - 4 Man Team

Mulligans$5.00

1 per person

Quantity

Gimmies$20.00

1 per person

Quantity

Chest of Cheer $20.00

5 tickets for $20.00

Quantity
Item subtotal:$0.00

Raffle Tickets$5.00

3 - $5 | 7 - $10 | 15 - $20 |

QuantityRaffle Tickets
Item subtotal:$0.00

Unable to Participate but please accept this donation$50.00

Quantity

Enter coupon

Total $0.00

St. Paddy's Charity Golf Scramble Registration