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2020 Cedar Rapids Heartland Youth for Christ Golf Challenge Team Captain Registration
Name *
Title
First Name
Last Name
Address *
Address Line 1
Address Line 2
City
State
Zip
Organization
Email *
How many spots would you like to reserve *  
x $150.00
Each spot is $150/each. If you would like to pay for each of your teammates to golf, type "4." If you would like to pay for yourself only, type "1."
Polo Shirt Size *
Will you be joining us for the steak dinner? *  
dinner is scheduled for 5:00 PM. Please note, the flow of events on day-of may alter this slightly.
Note
 I would like to pay at the event.

For questions call (319) 393-7996 or email heartlandyfc@live.com