CJR Memorial Golf Tournament Registration | Caleb Joseph Regenski Memorial Foundation | Raising money and awareness on behalf of children who are critically ill.

Sponsor Information

Name*

First Last

Business Name

Email Address*

Website Address

Address*

Street Address City State ZIP Code

Sponsorship Options

Sponsorship Level*

Dinner Registration

* SINGLE GOLFER $150
(includes golf, cocktail party & dinner)
Prepay your foursome by April 15th. and pay only $550 (a $50 savings)
* INDIVIDUAL GOLFER & DINNER GUEST $200
* COCKTAILS/DINNER ONLY $50

Register for Golf, Dinner, & Cocktails?*

1. Golfer Name

First Last

1. Golfer Dinner Choice

Prime Rib
Chicken
Salmon

2. Golfer Name

First Last

2. Golfer Dinner Choice

Prime Rib
Chicken
Salmon

3. Golfer Name

First Last

3. Golfer Dinner Choice

Prime Rib
Chicken
Salmon

4. Golfer Name

First Last

4. Golfer Dinner Choice

Prime Rib
Chicken
Salmon

Add Dinner Guests

Register additional guests to accompany you. Each guest is an additional $50.00 for Dinner and Cocktails.

Add 1st Dinner Guest? (+$50.00)*

Yes
No, thank you.

1. Dinner Guest

First Last

1. Guest Dinner Choice

Prime Rib
Chicken
Salmon

Add 2nd Dinner Guest? (+$50.00)*

Yes
No, thank you.

2. Dinner Guest

First Last

2. Guest Dinner Choice

Prime Rib
Chicken
Salmon

Add 3rd Dinner Guest? (+$50.00)*

Yes
No, thank you.

3. Dinner Guest

First Last

3. Guest Dinner Choice

Prime Rib
Chicken
Salmon

Add 4th Dinner Guest? (+$50.00)*

Yes
No, thank you.

4. Dinner Guest

First Last

4. Guest Dinner Choice

Prime Rib
Chicken
Salmon

Today's Total

Total

$0.00