Saturday, June 2, 2012
Golfers - $110 per person (includes dinner)
Non-Golfers - $40 per person (dinner only)
Hole Sponsorship - $100
Deadline to register and pay is May 25, 2012
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Contact Information
Name & Email Address Required
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Name *
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Email *
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Kim's Awareness may use your email address to contact your regarding your current registration. You may also opt in to receive future emails
below.
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Newsletter
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Please send me emails about future Kymbo Golf Outings and Kim's Awareness news.
We promise these emails are infrequent and you may opt out at anytime.
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Address
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Phone Number
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What is your preferred method of contact?
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Kim's Awareness may contact you regarding your registration.
If you chose Other, please explain in the Additional Comments section at the bottom of this form.
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How would you like to be notified of next year's Kymbo Golf Outing?
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We would love to see you come back next year!
**If you wish to be notified by Facebook, then "Like" the Kim's Awareness page at facebook.com/kimsawareness.
**If you would like to be notified by Twitter, then follow us at twitter.com/kimsawareness.
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Golf Outing/Dinner Registration
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Registration
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How many total golfers/guests are you registering?
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If you are registering more than 5 guests, please use the box at the bottom of the registration form to detail how many and who your guests are.
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Golf - $110 Per Golfer
Please list the members of your golf foursome (if known).
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Golfer #1
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Golfer #2
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Golfer #3
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Golfer #4
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Dinner - $38 Per Dinner Guest
Please list your guests who are attending the dinner only and will not be golfing.
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Dinner Guest #1
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Dinner Guest #2
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Dinner Guest #3
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Dinner Guest #4
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Additional Guests & Info
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If you have more than 4 guests, please use the box at the bottom of the registration form to enter the remaining names.
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Tee/Hole Sponsorship
You may sponsor a tee/hole at the golf outing for a donation of $100
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I would like to sponsor a hole for $100
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Hole Sponsorship
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If you would like to sponsor a hole, please designate what verbiage (family name, company name, etc.) you would like displayed on your sign (limited to 4
lines)
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Additional Donation
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Donation Amount
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Please designate if you would like to make an additional donation
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Additional Comments
Enter any additional questions or comments below
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Thank you for registering!
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