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10 YEAR CELEBRATION
Team Registration - KY
Hole Sponsor Registration (KY)
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TEAM REGISTRATION -
Team Registrants can complete the form below to register for the 2022 Celebrity Shotgun Golf Scramble on Friday, July 15, 2022. We require each team to provide the name, phone number and email address of at least (2) TWO members of each team, but we prefer that you provide information for all four.
PAYMENT BY CHECK
Complete the form below and on the Payment Method window, choose Manual Payment. We will contact you to obtain a check payment and send you an invoice if needed.
PAYMENT BY CREDIT CARD / PAYPAL
Complete the form below and on the Payment Method window, choose Credit Card or PayPal, and enter your payment information to process your payment.
If you have any issues submitting this form, you can send the information below to
and we will reach out to complete the registration process manually.
Team Captain Full Name
Team Captain Phone Number
Team Captain Email
Team Captain Address
Golfer #2 - Name, Email and Phone Number
Golfer #3 - Name, Email and Phone Number
Golfer #4 - Name, Email and Phone Number
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Thank you for helping us make a difference!
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