North County Health Services
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FORE FOR KIDS VI
How many people are you registering?
1
2
3
4
5
6
7
8
9
10
(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue".
Event Fee(s)
Click here to see details on sponsorship levels:
>> GO
Sign Up To Play:
-none-
Title Sponsor - $ 10,000.00
Platinum Sponsor - $ 5,000.00
Gold Sponsor - $ 3,000.00
Corporate Sponsor - $ 1,200.00
Individual Golfer - $ 200.00
Guest Of A Sponsor - $ 0.00
More Sponsorship Opportunities:
-none-
Apparel Sponsor - $ 3,500.00
Dinner Sponsor - $ 2,500.00
Accessory Sponsor - $ 2,500.00
Lunch Sponsor - $ 1,500.00
Beverage Sponsor - $ 500.00
Hole Sponsor - $ 200.00
Attending Dinner?
*
Yes - $ 0.00
No - $ 0.00
Bringing A Guest to Dinner?
*
Yes - $ 35.00
No - $ 0.00
Total Fee(s)
I will send payment by check.
Email Address
*
Your Info (full)
Enter YOUR information here.
Register additional players on the NEXT page.
First Name
*
Last Name
*
Phone
*
Address 1
Address 2
City
State
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
Business Name
*
Title
*
Shirt Size
XL
Large
Medium
Small
(
clear
)
Shirt Style
Men's
Women's
(
clear
)
Dinner Guest Name
If you are bringing a guest to dinner, what is their name?
Credit Card Information
Card Type
- select -
Visa
MasterCard
Amex
Discover
Card Number
Enter numbers only, no spaces or dashes.
Security Code
Usually the last 3-4 digits in the signature area on the back of the card.
Expiration Date
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Billing Name and Address
Enter the name as shown on your credit or debit card, and the billing address for this card.
Billing First Name
Billing Middle Name
Billing Last Name
Street Address
City
Country
- select -
United States
State / Province
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code