Potentials Foundation

Tee It Up For Conner & Friends Golf Tournament

Presented by:
Big Tattoo Wines

  • Format will be Captain's choice with a shot gun start
  • Prizes will be given for 1st, 2nd, and 3rd place teams, hole in one, longest and straightest drive, closest to pin, putting challenge, and 50/50 raffle
  • Registration includes golf, cart, range, beverages, dinner, wine tasting, gift bag, and on-course contests and raffle
  • Sponsorship & contributions are tax-deductible, entry fees are non-deductible
  • Field is limited to 128 entries (32 teams)
  • Non-golfers are invited to a casual dinner, awards, silent auction, live music, and magic show for children following golf
  • Additional information will be emailed to participants prior to the event
Tee It Up For Conner & Friends

REGISTRATION FORM
Company/Individual
 * required
Phone
 * required
Mailing Address
Player 1
 * required
Email
 * required
Player 2
Email
Player 3
Email
Player 4
Email
Please assign me to a foursome:
Yes
No
I will be paying for:
1 Player
2 Players
3 Players
4 Players
   

Total Golf Fees
($150/Individual-$600/Foursome)
EARLY BIRD $125/INDV-$500/FOUR BY JUNE 1

Non-Golfer Dinner Guests ($30 per adult)

Sponsorship Amount
PLEASE COMPLETE SPONSOR FORM

Cash Donation (Tax-Deductible)

Check or PayPal Total
Print


Old Trail Golf Club
Crozet, Virginia
Saturday, August 29, 2009
11:30 am Registration
12:40 pm Special Guests Tee-Off
1:00 pm Shot Gun Start
 6:00 -9:00 pm Dinner
PLUS...Magic Show, Silent Auction, Awards, and    
Live Music by Full Moon Saloon Band


Tee It Up For Conner

Payment may be completed online through PayPal

Tee It Up For Conner

or
Print forms and mail with check payable to:

POTENTIALS FOUNDATION
c/o Kim Emmert
471 Jefferson Drive, West
Palmyra, VA 22963

SPONSORSHIP FORM
Company
Contact
 * required
Mailing Address
Phone
 * required
Email
 * required
      
I would like to sponsor the following:
Presenting Sponsor $5000
Thank you BIG TATTOO WINES!
Entertainment Sponsor $1000
Thank you PEVEY & ASSOCIATES!
Dinner/Awards Sponsor $2500
Scoreboard Sponsor $1000
Gift Sponsor $2000
Driving Range Sponsor $1000
Thank you TOM & PAM HARVEY!
Beverage Cart Sponsor $1500
Registration Sponsor $1000
Golf Cart Sponsor $1500
Hole Sponsor $250
Corporate Team Sponsor $750
Putting Green Sponsor $250
        
I would like to provide a cash or in-kind donation for the following:

Golfer Gift Bags
Items to donate

Prizes, Awards, Auction
Items to donate

Dinner

Entertainment

I would like the following information to be included on my sponsorship signage:
I would like a logo included in my signage

 
Print

After submitting the sponsorship form, please use the link below to email your "camera-ready" artwork for inclusion in your signage.  Thank you.

Potentials Foundation - A Cause for Chloe 
PO Box 28877
Scottsdale, AZ  85255
USA

info@potentialsfoundation.org

Families with a MOPDII diagnosis are invited to CLICK HERE and register with the foundation to join the family support
We would like to refer families with other forms of Primordial Dwarfism to the following sites for support:
Seckel Syndrome http://groups.yahoo.com/group/seckel-loop/
Russell-Silver Syndrome www.magicfoundation.org/www/docs/112/russel-silver-syndrome