Golf Tournament Registration2019

Your participation in the Johnson Memorial Hospital Foundation Golf Tournament will help further our mission of creating a healthier community and supporting patient services at Johnson Memorial Health.

Our 2019 22nd annual tournament will be played at the challenging and enjoyable Hickory Stick Golf Club on September 5th!  Register your team to enjoy lunch at 11 a.m., shotgun start at 12 p.m., then dinner provided at 5 p.m. along with awards for golfers and prize giveaways. If you have questions, please contact us at 317-346-3703 or email at

Please complete the following tournament registration form.

Company Name
Contact First Name
Contact Last Name
Street Address
Your Email Address


Please fill out the name(s) participating in the JMH Foundation Golf Tournament.

Player 1 Name
 Staying for Dinner
Player 2 Name
 Staying for Dinner
Player 3 Name
 Staying for Dinner
Player 4 Name
 Staying for Dinner
Purchase your mulligans now
 $10 for 2 Mulligans
 $40 for 8 Mulligans (Maximum)

Sponsorship Level

 $5000 Platinum Sponsorship (Includes: Foursome, Logo on event collateral, Logo on scoreboard & tournament banner, Speaking opportunity at awards dinner, Hole recognition, Name read at shotgun start)
 $2500 Gold Sponsorship (Includes: Foursome, Logo on tournament banner, Hole recognition, Name read at shotgun start)
 $1000 Silver Sponsorship (Includes: Foursome, Logo on tournament banner, Hole recognition)
 $250 Bronze Sponsorship (Includes: Logo on tournament banner and hole recognition)
Company Logo

Additional Donation Amount(s)

 Donate $100
 Donate $200
 Donate $300
 Donate $400
 Donate $500
 Donate $600
 Donate $700
 Donate $800
 Donate $900
 Donate $1000
Payment (check or credit card )

Through the Foundation, we give back to a hospital that has given so much to our health.

Doug Stewart

JMH Foundation Board President

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