registration for this event is now closed.
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Fill out this form to register to crowdfund. If you would like to register without
crowdfunding please click here.

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Golf/Tennis Reservations & Journal Packages
Registration Information
Team Name: *

The word 'team' will automatically be added to your team name. Team name should not exceed 12 characters
Address: *
City: *
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Zip Code: *
Country: *
Phone Number: *
Cell Phone:
Email Address: *
Gender: *
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Amount of Players: *
Fundraising Goal: *
Please note that all donors to your personal crowdfunding page will have the option to register or sponsor the event with their donations.
I wish to participate in the Swing for Life Tournament to help raise awareness and funds to support the non-profit mission of Ezer Mizion. I have assumed responsibility to raise the minimum fundraising requirement for the event, $2000 for a Foursome at Lawrence Yacht & Country Club, or $3200 for a Foursome at The Rockaway Hunting Club. I agree to collect funds from sponsors and individual donors for my participation in this event that will be donated to Ezer Mizion. Any checks received will be made payable to Ezer Mizion and reference the Swing for Life event. I am aware that if for any reason, I am not able to participate in the event I will still be committed to raising the fundraising minimum for the event.
Start your campaign and be the first to donate- $
Account Information
Choose your username and password. You will need it to view your crowdfunding web page, and see who has sponsored you.
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Re-Type Password: *
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Additional Comments:
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