Dingers and Doubles – Golf Tournament Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. (Team (Captain) Name Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRelation to Player / ProgramGroup Name *Player 1 (Captain) *FirstLastPlayer 2FirstLastPlayer 3FirstLastPlayer 4FirstLastPlayer 1 (Team 2) *FirstLastPlayer 2 (Team 2)FirstLastPlayer 3 (Team 2)FirstLastPlayer 4 (Team 2)FirstLastSelect Payment Option *One Player – $125.00Two Players – $250.00Three Players – $375.00Four Players – $500.00Sponsorship – Single – $100.00Sponsorship – Double – $200.00Sponsorship – Triple – $300.00Sponsorship – Home Run – $400.00Sponsorship – Grand Slam – $1,000.00Sponsorship – Perfect Game – $2,500.00Sponsorship – Hall of Fame – $5,000.00Payment required for all players listed on registration. If paying individually, please have each player fill out form, and include Group Name so players are linked.Stripe Credit Card *Submit
