Children's Miracle Network Golf Classic Registration

Form Description

Use the form below to register your team for the annual Children's Miracle Network Golf Classic benefiting infants and children treated at Sacred Heart Medical Center. It will be on August 25, 2014 at the Shadow Hills Country Club. There is a double shotgun start - 7:30 a.m. and 1:30 p.m. Be sure to give us your start time preference on the form below.


Please complete all required fields. If you are unable to provide complete team information, please provide as much as you can and let us know later.
Questions marked with a red * require a response.

Payment Preferences and Status

A team of four costs $1,750. Of that amount, $1,250 is tax deductible.

A half team (two players) costs $875, with $625 tax deductible.

Event Sponsors pay as outlined in their Sponsorship Agreement.
Team Size

If you are sponsoring two players, we will do our best to match you up with the half-team you prefer.
For two-person teams:

All final match ups will be made at the discretion of CMN and Shadow Hills.
Billing Information

Team Data

Note: Preferences will be considered on a first come, first served basis. The morning tee time has a much faster pace of play.
Player 1

Player 2

Player 3

Player 4

If not paying by credit card, do not proceed with credit card information on the next page. Your registration will still be submitted.

Children's Miracle Network
P.O. Box 10905
Eugene, OR 97440
Phone: (541)686-6456
Fax: (541)686-6336

If you would like a copy of this completed form, please enter your email address.
Amount to charge credit card:
After saving this form, you will be asked for credit card information.