Kenneth Young Center - Community Mental Health and Senior Services

KYC Golf Outing



Golf Registration

 

I plan to participate in this year's golf outing. Here is my contact and registration information:

Name: (required)
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Daytime Phone Number: (required)
Email Address:
 
Foursome Registration
I am registering on or before July 1 and am submitting an Early Bird foursome registration fee of $600. Here are the names of the three other people in my foursome (enter 'Guest' if you don't know their name):
 
I am registering after July 1 and am submitting a foursome registration fee of $700. Here are the names of the three other people in my foursome (enter 'Guest' if you don't know their name):
 
Individual Registration
I am registering on or before July 1 and am submitting an Early Bird individual registration fee of $150. Please place me in a foursome.
I am registering after July 1 and am submitting an individual registration fee of $175. Please place me in a foursome.
 
Non-Golfer Registration
I am unable to golf bit would like to attend the lunch buffet. I am submitting $40 to register for the luncheon.
I am unable to attend but would like to make a donation.