* = Required fields.

*Please select one of the following registration options:

• Dinner & Program/Awards - $250 (before August 9)
• Individual Golf Entry, $800 Sponsorships will have registration priority
• Team Golf Entry, 2 Players* - Golf Player - $1,600
• Team Golf Entry, 4 Players* - Grand Slam - $3,200
• Individual Tennis Entry, $350 Sponsorships will have registration priority
• Team Tennis Entry, 2 Players* - Tennis Player - $1,600
• Team Tennis Entry, 4 Players* - Grand Slam - $3,200
• Steven (Z”l) and Evelyn Rosen Stars of Tomorrow Scholarship - $2,500
• Breakfast, Lunch Beverage Cart, Longest Drive, Putting Contest, Valet & 19TH HOLE - $1,200
• Ad book:
• $300 Quarter Page
• $500 Half Page
• $750 Full Page
• I am unable to attend but would like to donate: $

All golf packages include:
18 holes of golf; continental breakfast; lunch; dinner and “fan”tastic Celebrity Sports Panel; open bar; tournament favors & mingling with sports celebrities.

Team Golf Members

*Please enter your own foursome/twosome or join one of ours (space permitting)

Player 1

First Name:
Last Name:
Phone:
Email:

Player 2

First Name:
Last Name:
Phone:
Email:

Player 3

First Name:
Last Name:
Phone:
Email:

Player 4

First Name:
Last Name:
Phone:
Email:

Billing Address

*First Name:
*Last Name:
*Address:
Address 2: optional
*City:
*State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
*Zip/Postal Code:
*Phone:
*Email Address: