Jason William Hunt Foundation

Supporting At-Risk Youth Through Outdoor Experiential Education

Jason's DayTM Golf Outing

October 12, 2009

Individual Golfer Registration Form

Register On-line by October 1, 2090

First Name

Last Name

Street

City

State

Zip Code

Phone

Email

Who is your foursome's Captain?

Click Submit button to preregister.

You may pay that morning or

mail a check including golfer's name by 10/1/09 to:

Jason William Hunt Foundation

1070 Ridgepoint DR

Batavia, OH 45103

Fees:

Please check where you wish to participate.

Fill-in Quantity where asked

Total that item to right

Calculate the Payment Due 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!

$

How Many Guests?

Single Golfer Fee              

Dinner Guest Name(s)

$

Raffle $2.00 each / 30 for $50.00

Longest Putt Challenge - 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 Guests @ $10.00 each