Online Registration

April 30th Golf Tournament Registration

Foursome Registration Form

Your Name

Title

Name of Your Organization

Address

City

State

Zip

Phone ( )

Fax ( )

E-Mail Address

Please provide the name and contact information for your golfers:

Golfer #1 Title

Company Email

Phone

Handicap or Average Score (last five rounds)


Golfer #2 Title

Company Email

Phone

Handicap or Average Score (last five rounds)


Golfer #3 Title

Company Email

Phone

Handicap or Average Score (last five rounds)


Golfer #4 Title

Company Email

Phone

Handicap or Average Score (last five rounds)

Tournament Fees

 Foursome: $500 Awards Dinner: $75

 

 

We thank you for participating in and being part of the success of our 3rd Annual Charity Golf Tournament.  All proceeds support research towards addressing the Opioid epidemic.

According to the CDC, drug overdoses are the leading cause of death in Americans under the age of 50 with upwards of 140 Americans dying every day from an overdose. Since 1999, deaths in this category have quadrupled and prescription opioids are a driving factor. New strategies and technologies are needed to address the economic and personal losses due to the opioid outbreak plus the related and skyrocketing medical costs. We are researching just such a solution, funded in part, through your participation in this golf tournament.

Tournament fees include Breakfast, Lunch, and the Awards Reception. An opportunity to attend the Pro Clinic and participate in the Silent Auction are included as well. Participants attending the full day but not playing golf may register for the Awards Reception only.

For sponsorship opportunities and discounts on multiple foursomes, please contact our Tournament Director, Troy Joslin at 410-409-9070 or tjoslin@healthsolutionsresearch.org.

HSR is a 501(c)3 non-profit and all contributions, sponsorships, or donations are fully tax deductible

Please send Form, Artwork, and Payment to: HSR, 15200 Shady Grove Road, STE 305, Rockville, MD 20850, agupta@healthsolutionsresearch.org. Credit Card payment can be made online @ http://www.healthsolutionsresearch.org

HSR is a 501(c)3 non-profit and all contributions, sponsorships, or donations are fully tax deductible.