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2010 Keep Kids Safe At Home Golf Inaugural
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Keep Kids Safe At Home Golfer Registration

Thank you for your interest in the Keep Kids Safe at Home Celebrity Golf Scramble, taking place Thursday, April 26, 2012 at 1 p.m. at the Belleair Country Club! All golfers will receive a golf shirt, lunch, a ticket to the awards reception, and a souvenir golf towel. We sincerely hope you will join us for what is sure to be a memorable event.

Sponsors: If you are interested in sponsoring, we ask that you download and complete the Sponsors Form and mail or fax it to us.

Non-sponsors: If you are registering to golf as an individual or foursome, complete the following:

Contact Name*:
Contact Business*:
Address*:
City*:
State*:
Zip*:
Phone Number*:
E-mail address*:
Registering As*: Individual ($250)
Foursome ($1000)
Total Donation Amount:
Credit card type*:
Name on Card*:
Credit card number*:
Credit card expiration*:
V Code*:
(Last 3 digits of number in signature box on back of your credit card)
Billing Street*:
Billing City*:
Billing State*:
Billing Zip Code*:
 

* Required Field

If you have questions, please call us at (727) 524-4464 ext. 1723.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE, (800) 435-7352. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. STATE OF FLORIDA SOLICITATION OF CONTRIBUTIONS REGISTRATION #CH634. Tax ID# 59-2092715

 
Join us for our third annual Keep Kids Safe at Home Celebrity Golf Scramble! Register now!

DATE:
Thursday, April 26, 2012

TIME:
11:30 a.m. registration; 1 p.m. shotgun start

PLACE:
Belleair Country Club,
1 Country Club Lane,
Belleair, FL 33756, East Course
www.belleaircc.com

REGISTRATION:
$250 / golfer
$1,000 / foursome

GOLFERS RECEIVE:
Golf shirt, lunch, souvenir towel, ticket to post-golf award reception

BENEFITS:
100% of proceeds go to services that help keep kids safe at home, including counseling, psychiatric therapy, case management and foster care services.

ADDITIONAL INFORMATION:
Award reception tickets are available for $20 each. Please call (727) 524-4464, ext. 1723 or e-mail SummerL@directionsmh.org

DRESS CODE:
To download the tournament dress code as provided by the club, click here.

 
Selected programs at Directions for Mental Health, Inc. were accredited by CARF -  The Rehabilitation Accreditation Commission