PLAYER REGISTRATION

PLAYER REGISTRATION

Please fill in the form below.
Full Name*

PrefixFirst NameLast Name
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Number of Players*
Player 1*
Player 2*
Player 3*
Player 4*
Sponsorship / Player Selection*

Corporate sponsor $5,000Eagle sponsor $2,500Birdie sponsor $1,000Friend sponsor $500Hole sponsor $275Single player $125I am unable to come, but please accept my donation.Player registration fees ($125 per player)
If you wish to participate in this year's tournament, please send registration and payments before September 14, 2025.
Player Registration Fees include green fees, golf cart, gift bag, and a BBQ lunch. Families are invited to BBQ for free. Exceptional raffle prizes available.

Please note that all sponsorships are tax deductible, including $125.00 of player registration fees.

Non-profit tax ID: 54-2188297
Credit card charges will be processed through the Ukiah Junior Academy account.

Credit Card Payment*

USDAmount to charge to your credit card