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"Best Shot for Kids" Golf Benefit Online Registration
Team Captain/Individual Team Captain Individual
First Name
Last Name
Company (If Company does not apply, please put "na". For Sponsorships be sure to list the name for Hole Signs.)
Address
City
State
Zip Code (5 digits)
Daytime Phone (with area code)
Evening Phone (with area code)
E-mail address
Team Member #2 (if "Team Captain" above)
Team Member #3 (if "Team Captain" above)
Team Member #4 (if "Team Captain" above)
Sponsorship Opportunities
Presenting Sponsor: $5000 = 8 golfers, hole sponsor for 18 holes, and recognition in event publicity, at the outing and on DYS website
Gold Sponsor: $2500 = 4 golfers, hole sponsor for 9 holes and recognition at the outing and on DYS website
Silver Sponsor: $1250 = 4 golfers, hole sponsor for 3 holes and recognition at the outing and on DYS website
Triple Hole Sponsor: $750 = hole sponsor for 3 holes and recognition on DYS website
Double Hole Sponsor: $500 = hole sponsor for 2 holes and recognition on DYS website
Hole Sponsor: $250 = hole sponsor for 1 hole and recognition on DYS website
Payment
Fees: $150 per golfer
Please make checks payable to Diabetes Youth Services or complete the payment field below and make payment(s) online through PayPal (Either by Credit Card, Bank Transfer or eCheck). Please note when using PayPal it comes up as a popup window, if it does not come up please call the office or make your payment on our main golf page.
Payment Amount (no $ sign - 0 for none)
(Note - if you enter an amount to the right, you will automatically be redirected to the PayPal® site to complete the payment upon submission of this form.)

Please only click the "Submit" button once,
the processing does take 30-40 seconds.
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