A Round Fore Randi Registration

Registrations and Sponsorships are now open!

A Round Fore Randi Golf Outing Registration

REGISTRATION CONTACT INFORMATION

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

REGISTRATION AND SPONSORSHIP OPTIONS

Please Select a Sponsorship or Registration Level:(Required)

Company Logo

Accepted file types: jpg, eps, pdf, png, , Max. file size: 256 MB.

Please upload a high-resolution file of your company logo here, in .jpg, png, pdf or .eps format. You can also email a high-resolution file of your logo to Nancy Chavez by sending it to njchavez@verizon.net. If emailing your logo, please attach a .jpg, .png, .pdf or .eps file.

Additional Golfers:

If you've chosen an Angel, Platinum, Gold or Silver Sponsorship - or a Foursome, Threesome, or Twosome, and would like to add the names of the additional golfers who will be joining you, feel free to list them here.

Golfer #2 Name:

Golfer #3 Name:

Golfer #4 Name:

Team Name:

If you've chosen an Angel, Platinum, Gold or Silver Sponsorship - or a Foursome, Threesome, or Twosome, and would like to add your team name, feel free to enter it here.

Team 2 Name:

If you've chosen an Angel Sponsorship, and would like to add your second team name, feel free to enter it here. You can also enter names for Team 2 golfer #'s 5, 6, 7 and 8 just below.

Golfer #5 Name:

Golfer #6 Name:

Golfer #7 Name:

Golfer #8 Name:

Make my sponsorship anonymous(Required)

Yes

ADDITIONAL DONATION

Would you like to make an additional donation to Randi’s House of Angels?

Yes

Additional Donation Amount:

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HELP MAKE YOUR GIFT GO FURTHER

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Do you want to cover the payment processing fees?

Using PayPal, we incur a reduced charity rate fee of 1.99% plus .49 cents on each donation. For a $100 golfer pre-registration, the processing fee is $2.53

Yes

Payment Processing Fee

Price: $0.00

Using PayPal, we incur a reduced charity rate fee of 1.99% plus .49 cents on each donation. For a $100 golfer pre-registration, the processing fee is $2.53

Total

BILLING

Registration Payments are processed with PayPal.

CAPTCHA

Please solve the math puzzle.

Pay with your PayPal account, or with a debit or credit card using PayPal.

To pay using your PayPal account, click the yellow PayPal button below, login to your account, and complete the transaction. You will receive a confirmation when everything is complete.

The yellow PayPal button will only appear if all registration form fields are completed without errors.

To pay using a credit or debit card, you still need to click the PayPal button below.

Next, when the PayPal window opens, scroll down below the login area and click the button at the bottom that says "Pay with a Debit or Credit Card". A PayPal window will open up for you to enter your debit or credit card information. Complete that, and you will see a slider button to allow you to pay without creating a PayPal account. Hit the blue Continue button to complete the transaction. You will receive a confirmation when the transaction is complete.

If you’d like to create a PayPal account, enter your desired password, then hit the blue Continue, and you will receive a confirmation when everything is complete.

PLEASE NOTE: If you already have an email address connected to a PayPal account, you will be required to login to your PayPal account to complete the transaction.

Randi's House of Angels does not provide any goods or services to you in consideration of your contribution.

Payment Method

WAIVER OF RESPONSIBILITY

Waiver of Responsibility: I wish to participate in the A Round Fore Randi Golf Outing. I understand that my execution of this Waiver and Release is a prerequisite for participation in the Event. I further understand that I assume all risks and dangers inherent in participating in the event and hold harmless Randi’s House of Angels and its officers, directors, vendors, agencies, sponsors, officials and volunteers from all claims or liabilities of any kind arising out of participation in the event, whether caused by negligence of the aforementioned parties, or otherwise.