Golf Scramble Registration

Golf Scramble Player Registration

Playing in the annual Mimi's Mission Golf Scramble helps to support our mission and is a tax-deductible donation to our 501c3 non-profit organization. To register to play and make your payment online, complete the form below as an INDIVIDUAL PLAYER REGISTRATION, 2 OR 3 PLAYER REGISTRATIONS or FOURSOME REGISTRATION and select the "REGISTER NOW!" button. If you would rather print out a form, scroll down to the "download registration PDF" button. We look forward to seeing you at this fun event!

As a contributor to Mimi's Mission and a player in the Annual Golf Scramble, your registration as an Individual or a Foursome is tax-deductible and allows us to continue helping Downriver autistic individuals and their families!

Donation Amount:

$ 150.00

A LITTLE MORE INFO. JUST ABOUT YOU

Your First Name

Your Last Name

Your Phone Number

INDIVIDUAL PLAYERS INFORMATION SECTION (to be used by Individual (single player), 2 and 3 Player Registrants (Foursomes DO NOT COMPLETE THIS SECTION)

Individual Player #1 Name

Individual Player #1, on which team will you be playing?

Individual Player #2 Name (if applicable)

Individual Player #2, on which team will you be playing?

Individual Player #3 Name (if applicable)

Individual Player #3, on which team will you be playing?

FOURSOME PLAYER INFORMATION SECTION

Foursome Player #1 Name

Foursome Player #2 Name

Foursome Player #3 Name

Foursome Player #4 Name

Who's registering today?

While we sometimes post donors, sponsors and their optional comments on our website, we’ll otherwise never share this information with anyone. We never release or sell any personal information.

Personal Info

First Name *

Last Name

Company Name

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Here's what you're about to register:

Donation Summary
Payment Amount
Giving Frequency	One time
Donation Total

Donation Total: $150.00