Annual Golf Classic Registration Form
Friday, July 28
Lunch at noon - Shotgun start at 1 pm
Whispering Creek Golf Club in New Haven
Complete registration and method of payment below for applicable team, sponsorships, and/or donations:
 One Foursome = $400
 Corporate Sponsor = $500 (include one foursome team and advertising at event)
 Hole Sponsor = $100 for one hole or $150 for two holes
 Prize Donation
 Monetary Donation
Email completed registration forms to [email protected]
Please select method of payment by checking the box (X) to the left of the payment method and complete
total amount of payment due for ALL team, sponsorships, and/or donations:
Select Payment
Method (X)
Total Amount
Due
Payment Method
Online***
Mail (check payment)
At Event
Payment Description
http://www.powerhouseyouthcenters.com
Include name(s) and/or company name in notes
The Power House
Golf Outing
830 Main St
New Haven, IN 46774
Cash, check, or credit card*** will be accepted at event
*** A small feel will be charged for credit card payments
Complete registration for ALL team, sponsorships, and/or donations in which you will be participating
One Foursome = $400
Captain Name (Golfer #1)
Phone
Address
Email
Company (if applicable)
Golfer Name #2
Phone
Address
Email
Company (if applicable)
Golfer Name #3
Phone
Address
Email
Company (if applicable)
Golfer Name #4
Phone
Address
Email
Company (if applicable)
Corporate Sponsor = $500 (includes one foursome and advertising at event)
Captain Name (Golfer #1)
Phone
Address
Email
Company (if applicable)
Golfer Name #2
Phone
Address
Email
Company (if applicable)
Golfer Name #3
Phone
Address
Email
Company (if applicable)
Golfer Name #4
Phone
Address
Email
Company (if applicable)
Hole Sponsor = $100 for one or $150 for two (advertise company at hole)
Company or Name on Sign (s)
Contact Name
Address
Phone
Email
# of sponsored holes (1 or 2)
Prize Donation
Company or Name
Contact Name (if company)
Address
Phone
Email
Item(s) Description
Value Amount
Monetary Donation
Company or Name
Contact Name (if company)
Address
Phone
Email
Amount of Donation
Thank you for your support of The Power House!