Contact Information

Country*
Email*
Confirm Email*
Phone*

Player Information

Please enter the name and e-mail address for each player in your foursome, even if you are not paying for them in this transaction. If you wish to provide additional information about your registration, please use the comments section below. 

Player 1*
Player 1 Email*
Player 2
Player 2 Email
Player 3
Player 3 Email
Player 4
Player 4 Email

Player Payment Quantity

Quantity
Price
Total
Number of Eagle Packages (Limit 1 Per Team)

Eagle Package for $100.00 per team. The Eagle Package includes mulligans, putting & hole contests, game and prizes for your team on nearly every hole throughout the tournament.

X
$
100.00=
$
0

Team of Four

Early bird pricing until March 1, 2021. If you have a foursome and would like to pay individually contact Safehome at 913-378-1511.

X
$
1,000.00=
$
0

Final Total:
$
0

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments

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