1375 Martin St, State College, PA 814-231-8200

Special Events:
Children's Miracle Network
Golf Tournament

[ Back to main Golf Tournament page ]

Use this form to register and pay online with a credit card.

If you prefer to pay with a personal check, please use the printable registration form.

Registration Form

Entry Fee: $150 per person

Registration deadline: no later than May 19, 2009

Individual
Name
Handicap
Email

Optional - Set your own foursome (additional players):
Name
Handicap
Email
Name
Handicap
Email
Name
Handicap
Email
The next step will direct you to Happy Values, a credit card payment processing company. "Happy Values" will appear on your credit card statement.

Click "Next" to continue to the secure Happy Values Web site.

Charitable organizations that solicit contributions are required by the Commonwealth of Pennsylvania to provide the following statement: "A copy of the official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement." You may obtain a copy of the Geisinger Foundationís financial report by contacting either Geisinger, Tax Department, 100 N. Academy Ave., Danville, PA 17822-3023 or the NY Department of Law, Charities Bureau, 120 Broadway, New York, NY 10271-0332.