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)

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, or Gold Sponsorship - or a Foursome, Threesome, or Twosome, and would like to add your team name, feel free to enter it here.

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.

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:

HELP MAKE YOUR GIFT GO FURTHER

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

Total

BILLING

Registration Payments are processed with PayPal.

CAPTCHA

Please solve the math puzzle.

Pay with PayPal, or with a Credit or Debit card.

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

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".

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.

Comments

This field is for validation purposes and should be left unchanged.

72758