Third FB Golf Outing Event Registration Form Thank you for registering for the Third Annual FB Golf Outing on Monday, June 10, 2024. Contact InformationName:(Required) First Last Address: Street Address City 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 State ZIP Code Email Address:(Required) Enter Email Confirm Email School Affiliation:(Required)Please selectU PennVillanovaBoston CollegeManhasset High SchoolOtherConsent: Please add my name to your mailing list so I can keep up to date on event and foundation news.Golf PackagesThe tournament is limited to a total of 240 golfers. Golf will be played at North Hempstead Country Club and Plandome Country Club. Please indicate your course location preference after you make your selection and we will try our best to accommodate you. When you register, please indicate the shirt size(s) you desire.Golf Foursome, Brunch, Cocktail Hour and DinnerIn total, there are 72 golf slots still available. Price: Quantity of Golf Foursomeenter quantity12Name (Foursome 1, Golfer 1) Email (Foursome 1, Golfer 1) Shirt Size (F 1, Golfer 1)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 1, Golfer 2) Email (Foursome 1, Golfer 2) Shirt Size (F 1, Golfer 2)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 1, Golfer 3) Email (Foursome 1, Golfer 3) Shirt Size (F 1, Golfer 3)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 1, Golfer 4) Email (Foursome 1, Golfer 4) Shirt Size (F 1, Golfer 4)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 2, Golfer 1) Email (Foursome 2, Golfer 1) Shirt Size (F2, Golfer 1)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 2, Golfer 2) Email (Foursome 2, Golfer 2) Shirt Size (F2, Golfer 2)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 2, Golfer 3) Email (Foursome 2, Golfer 3) Shirt Size (F2, Golfer 3)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName (Foursome 2, Golfer 4) Email (Foursome 2, Golfer 4) Shirt Size (F2, Golfer 4)(Required)select oneSmallMediumLargeX-Large2-XL3-XLGolf Course Preference (please select one) North Hempstead Country Club Plandome Country Club No preference Single Golfer – Golf for 1, Brunch, Cocktail Hour and DinnerIn total, there are 72 golf slots still available. Price: Quantity Single Golferenter quantity123456Name Email of Golfer Shirt Size(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 2 Email of Golfer 2 Shirt Size (Golfer 2)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 3 Email of Golfer 3 Shirt Size (Golfer 3)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 4 Email of Golfer 4 Shirt Size (Golfer 4)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 5 Email of Golfer 5 Shirt Size (Golfer 5)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 6 Email of Golfer 6 Shirt Size (Golfer 6)(Required)select oneSmallMediumLargeX-Large2-XL3-XLGolf Course Preference (please select one) North Hempstead Country Club Plandome Country Club No preference Junior Single Golfer – Golf for 1, Brunch, Cocktail Hour and Dinner (23 years and under)In total, there are 72 golf slots still available. Price: Quantity Junior Golfenter quantity123456Name of Junior Golfer Email (Junior Golfer 1) Shirt Size (Junior Golfer)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Junior Golfer (2) Email (Junior Golfer 2) Shirt Size (Junior Golfer 2)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Junior Golfer (3) Email (Junior Golfer 3) Shirt Size (Junior Golfer 3)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Junior Golfer (4) Email (Junior Golfer 4) Shirt Size (Junior Golfer 4)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Junior Golfer (5) Email (Junior Golfer 5) Shirt Size (Junior Golfer 5)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Junior Golfer (6) Email (Junior Golfer 6) Shirt Size (Junior Golfer 6)(Required)select oneSmallMediumLargeX-Large2-XL3-XLGolf Course Preference (please select one) North Hempstead Country Club Plandome Country Club No preference Dinner OnlyCocktail Hour and Dinner will be held at North Hempstead Country Club.Cocktail Hour and Dinner Price: Quantityenter quantity123456SponsorshipsTournament Sponsor Price: Quantity Tournament Sponsorenter quantity1(2) Golf Foursomes at North Hempstead. Dinner and Cocktails for Eight. Recognition at event and on our websiteName of Golfer 1 Email of Golfer 1 Shirt Size (Golfer 1)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 2 Email of Golfer 2 Shirt Size (Golfer 2)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 3 Email of Golfer 3 Shirt Size (Golfer 3)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 4 Email of Golfer 4 Shirt Size (Golfer 4)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 5 Email of Golfer 5 Shirt Size (Golfer 5)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 6 Email of Golfer 6 Shirt Size (Golfer 6)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 7 Email of Golfer 7 Shirt Size (Golfer 7)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 8 Email of Golfer 8 Shirt Size (Golfer 8)(Required)select oneSmallMediumLargeX-Large2-XL3-XLPlatinum Dinner Sponsor Price: Quantity Platimum Sponsorenter quantity1(1) Golf Foursome at North Hempstead. Dinner and Cocktails for Four. Recognition at event and on our websiteName of Golfer 1 Email of Golfer 1 Shirt Size (Golfer 1)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 2 Email of Golfer 2 Shirt Size (Golfer 2)(Required)select oneSmallMediumLargeX-Large2-XL3-XL.Name of Golfer 3 Email of Golfer 3 Shirt Size (Golfer 3)(Required)select oneSmallMediumLargeX-Large2-XL3-XLName of Golfer 4 Email of Golfer 4 Shirt Size (Golfer 4)(Required)select oneSmallMediumLargeX-Large2-XL3-XLGold Cocktail Sponsor (North Hempstead) Price: Quantityenter quantity12Recognition at event and on our websiteSilver Brunch Sponsor (North Hempstead and Plandome) Price: Quantityenter quantity12Recognition at event and on our websiteHalfway House Food Sponsor (North Hempstead and Plandome) Price: Quantity Halfway House Sponsorenter quantity12Recognition at event and on our websiteName to list on Halfway House Food signage: Name to list on Halfway House Food signage (2): Golf Shirt Sponsor Price: Quantityenter quantity1Signage recognition on the golf courseBeer Cart Sponsor (North Hempstead and Plandome) Price: Quantity Beer Cart Sponsorenter quantity123456Signage recognition on the golf courseName to list on Beer Cart signage: Name to list on Beer Cart signage (2): Name to list on Beer Cart signage (3): Name to list on Beer Cart signage (4): Name to list on Beer Cart signage (5): Name to list on Beer Cart signage (6): Longest Drive Sponsor (North Hempstead and Plandome) Price: Quantity Longest Drive Sponsorenter quantity1234Signage recognition on the golf courseName to list on Longest Drive signage: Name to list on Longest Drive signage (2): Name to list on Longest Drive signage (3): Name to list on Longest Drive signage (4): Closest to Pin Sponsor (North Hempstead and Plandome, Men/Women) Price: Quantity Closest to Pin Sponsorenter quantity1234Signage recognition on the golf courseName to list on Closest to Pin signage: Name to list on Closest to Pin signage (2): Name to list on Closest to Pin signage (3): Name to list on Closest to Pin signage (4): Personalized Flag Pin Sponsor (North Hempstead and Plandome)34 sponsorships available. Price: Quantity Personalized Flag Pin Sponsorenter quantity123456Personalized flag pin signage recognition on the golf courseName to list on flag pin: Name to list on flag pin (2): Name to list on flag pin (3): Name to list on flag pin (4): Name to list on flag pin (5): Name to list on flag pin (6): Tee Box Sponsor (North Hempstead and Plandome) Price: Quantity Tee Box Sponsorenter quantity123456Signage recognition on the golf courseName to list on Tee Box signage: Name to list on Tee Box signage (2): Name to list on Tee Box signage (3): Name to list on Tee Box signage (4): Name to list on Tee Box Sponsor signage (5): Name to list on Tee Box signage (6): I/we cannot attend, but would like to make a donation to support the Foundation's work. Register and PayFarrell Boy Foundation is an IRS 501(c)(3) non-profit corporation. Contributions and donations are deductible as charitable donations to the extent allowed under the law. As such, generally donations would be deductible to the extent in excess of the value of any goods or services received in exchange for the value of the contribution or donation.FORM TOTAL:Choose your Payment Method: Mail in Payment – Send check payable to “Farrell Boy Foundation” to P.O. Box 879, Plandome, NY 11030 Pay Electronically with Zelle (zero fees) – Contact point is info@farrellboy.org Pay with Venmo – account name is @farrellboyfoundation Pay Online – Your credit card information will be encrypted on a secure line to Stripe Processing Center. We will not store any financial information. (Your total will reflect an additional 3% processing fee) Credit CardCard Details Cardholder Name Processing Fee: Price: $0.00 Total with Processing Fee: NameThis field is for validation purposes and should be left unchanged. Δ