Kansas City Golf Classic

Date:TBA
Time: Shotgun Start at 8:00am
Location: Swope Memorial Golf Course, Kansas City, MO

Golfers of all abilities are welcome, and all proceeds benefit NSCD sports programming in the Kansas City area. The NSCD partners with the Kansas City Parks and Recreation Department and other community groups to provide therapeutic recreation services and sport opportunities for the youth in your area.

Your participation will help NSCD-Kansas City continue to provide experiences that build self-confidence, physical fitness and independence for individuals with disabilities.

Sports Camp Registration Form
Sports CAMP:	Kansas City Golf Classic * required
Participant First Name:	*
Participant Last Name:	*
Company Name:	*
Address:	*
City:	*
State:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory *
Zip Code:	*
Business Phone:	*
Home Phone:	*
Fax:	*
Email Address:	*
Method of Payment:	Check (Make payable to NSCD-Kansas City) Credit Card (Please call 303-293-5711) Please register and bill me by September 1st.
Check Appropriate:	Foursome - $350 Individual - $100 Front Nine Sponsor - $1000 Lunch Sponsor - $750 Back Nine Sponsor - $1000 Drive Range Sponsor - $750 Cart Sponsor - $750 Hole Sponsor - $500 Putting Sponsor - $750 Other
Your Foursome:	Name: Phone: HDCP/Avg. Score: Name: Phone: HDCP/Avg. Score: Name: Phone: HDCP/Avg. Score: Name: Phone: HDCP/Avg. Score:
Photo Release
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree:	Yes No *
Participant Name:	*
Date:	month January February March April May June July August September October November December day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010 *
Sign here:	__________________________
Please print this page out and bring it to the classic with you.
Enter Security Code: