Private-Registration 2025

Hole-O-Ween Golf Registration 2025

Your Name*
First Last
Your Phone*
Your Email*
Your Address*
Should match your credit card information.

Street Address City State ZIP Code
Registration Type*
- Individual Registration - $74
- Team Foursome
Individual Registration Type*
- I am already on a team with others.
- I need to be assigned to a random team; I don't have one.
Name of Team and Others Involved*
List team name and name of participants so we can make sure your registration applies to that team.
Foursome Team Name*
Captain/Player 1 Name*
First Last
Captain's Email*
Captain's Phone*
Player 2 Name*
First Last
Player 3 Name*
First Last
Player 4 Name*
First Last
I Agree To This Waiver*
In consideration of WSJM Inc. (ROCK 107 WIRX) permitting me/my teammate(s) to participate in the above event, I hereby and for me /my teammate(s) heirs, executors, administrators, assignees and all legal guardians, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS OF ANY NATURE, FOUNDED IN WHOLE OR PART UPON ANY NEGLIGENCE, that I/my passenger may have against WSJM Inc., its' directors, officers, employees, assignees, licensees, volunteers and any cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns (the “Released parties) arising out of or resulting from any and all injuries or damages of any nature, including death, which I/my teammate(s) may suffer while taking part in this event or any activities connected with the event.
- I Agree
Total You Will Be Charged Today
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Hole-O-Ween Golf Registration 2025

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