Jason William Hunt Foundation

Supporting At-Risk Youth Through Outdoor Experiential Education

Jason's DayTM Golf Outing

October 12, 2009

Foursome Registration Form

Register On-line by October 1, 2090

First Name

Last Name

Street

City

State

Zip Code

Phone

Email

Click Submit button to preregister.

You may pay that morning

or mail a check by 10/1/09 to:

Jason William Hunt Foundation

1070 Ridgepoint DR

Batavia, OH 45103

Fees:

Check each box where you wish to participate.

Fill in Quantity where asked

Fill in cost for that item

Total at Bottom....

Kilt includes 2 Mulligans and 1 each of  pitch, throw, kick, skirt*.

*Men use White Tees, Women use 150 yard marker.

How Many Tickets?

$

$

$

$

Total Payment Due (Please calculate)

$

$

Comments:

Thank You for your support!

TEAM CAPTAIN:

Foursome Members:

First Name

Last Name

Email

FOURSOME FEES    $200.00 

$

# of Putters ?

# of Sets?

How Many?

Dinner Guest Name(s)

$

Raffle $2.00 each / 30 for $50.00

Longest Putt  - 3 shots for $5.00

Mulligans - 3 for $10.00 1 set per golfer

Kilt - $20.00 - 1 set per foursome (see explanation below)

Donation: Tax deductible as Ohio 501-(C)-3 Not For Profit

Dinner Guest $10.00 each