Mike Marshall Golf Tournament SlideOfficial Registration Centennial Golf Club May 31st, 2025 This non-profit fundraiser's proceeds will be donated to Reclaiming Lives Where: Centennial Golf Club, 1900 N Phoenix Road, Medford When: May 31, 2025, 9:00 am Shotgun Start Register before 5/1/25 and receive 12 free raffle tickets! For additional information, contact: Daynie Paul, Development Director Reclaiming Lives / Recovery Café Medford dayniep@reclaiming-lives.org | 541-973-0455 4 Person Scramble $600 Players Package: For an additional $100 your entire team can participate in course activities, which include: Longest drive: Cash prize Cornhole: Move up a tee Closest to the pin: Cash prize 1 mulligan per team member Hole-in-one: Trip to Hawaii Mike Marshall Tournament Official Registration Form "*" indicates required fields Team Registration SectionFour Person TeamIncludes green fees, carts, tee prizes, t-shirt and lunch. $600 Add Team Player PackageIncludes course games and Hole-in-One opportunity for trip to Hawaii. $100 Four Person Team Package Price: Team Player Package Added Price: Team Selection Total Individual Golfer Registration SectionIndividual GolferIncludes green fees, carts, tee prizes, t-shirt and lunch $175 Add Individual Golfer Player PackageIncludes course games, Hole-in-One opportunity for trip to Hawaii, and raffle ticket. $40 Individual Golfer Price: Added Individual Golfer Package Price: Individual Golfer Selection Total Primary payer Team Name, First and Last Name, Address, Email, and Phone information required for Team Registration Payment Processing.Primary payer First and Last Name, Address, Email, and Phone information required for Individual Player Registration Payment Processing.Name of Team:*Primary Payer (Player 1) Name:* First Last Primary Payer (Player 1) Address:* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Payer (Player 1) Email:* Primary Payer (Player 1) Phone:*Primary Payer (Player 1) Shirt Size* XXXL XXL XL L M S Preferred Starting Hole If your top 3 selections are not available the choice will be random.Starting Hole 1st ChoiceHole 1Hole 2Hole 3Hole 4Hole 5Hole 6Hole 7Hole 8Hole 9Hole 10Hole 11Hole 12Hole 13Hole 14Hole 15Hole 16Hole 17Hole 18Starting Hole 2nd ChoiceHole 1Hole 2Hole 3Hole 4Hole 5Hole 6Hole 7Hole 8Hole 9Hole 10Hole 11Hole 12Hole 13Hole 14Hole 15Hole 16Hole 17Hole 18Starting Hole 3rd ChoiceHole 1Hole 2Hole 3Hole 4Hole 5Hole 6Hole 7Hole 8Hole 9Hole 10Hole 11Hole 12Hole 13Hole 14Hole 15Hole 16Hole 17Hole 184 Person Team Information:Player 2 Name:*Player 2 Email:* Player 2 Phone:*Player 2 Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Player 2 Shirt Size* XXXL XXL XL L M S Player 3 Name:*Player 3 Email:* Player 3 Phone:*Player 3 Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Player 3 Shirt Size* XXXL XXL XL L M S Player 4 Name:*Player 4 Email:* Player 4 Phone:*Player 4 Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Player 4 Shirt Size* XXXL XXL XL L M S Your Registration Total: Please Select Payment Method* Credit Card PayPal Credit CardCard Details Cardholder Name Complete your Registration and/or Sponsorship using PayPalSecurity Check Sign up using the form below or download the registration form, fill out and mail payment to: Dave Marshall, 3318 Blackthorn Way, Medford, OR 97504 Download Registration Form
