Participant Registration

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Golf Package Options

Select a golf package*

Cost

Package Includes

One Golfer

Two Golfers

Four Golfers (Save $100 when you register a foursome!)

Don't want to golf but want to enjoy the day with the Julianne Rosela Foundation? $100 gets you food and drinks starting at 2pm along with live music, opportunities to bid on the silent auction, 50/50 drawing and tons of fun!

1st Golfer Information

1st Golfer Name*

First Last

1st Golfer Email*

Enter Email Confirm Email

1st Golfer Phone*

2nd Golfer Information

2nd Golfer Name*

First Last

2nd Golfer Email

Enter Email Confirm Email

2nd Golfer Phone

3rd Golfer Information

3rd Golfer Name*

First Last

3rd Golfer Email

Enter Email Confirm Email

3rd Golfer Phone

4th Golfer Information

4th Golfer Name*

First Last

4th Golfer Email

Enter Email Confirm Email

4th Golfer Phone

Registrant Information

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Comments

Payment

Your Total

How would you like to pay?*

Credit Card via Stripe

Check

Please consider paying by check to minimize our third party processing fees.

You will be redirected to Stripe to complete this transaction after clicking the submit button.

After you click submit, please send a check payable to "The Julianne Rosela Foundation" to the address below this notice.

The Julianne Rosela Foundation
P.O. Box 33 | Chester, MD 21619

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