JASMINE RIVERA for PA GOLF OUTING

WHEN: Monday August 24, 2026

Registration: 8am (breakfast under tent)
Tee Off: 10am

WHERE: at Regents Glen Country Club, York, PA

Questions? Contact Melissa Shortino, Campaign Manager, 717-880-5551, thebossladym@gmail.com

GOLFER REGISTRATION

Please be sure to complete ALL INFORMATION applicable for your Team Registration!

Twosome or Foursome?

Team Captain Name:

Team Captain Phone:

Team Captain Email Address:

Team Captain Physical Address: *

Player 2 Name:

Player 2 Phone:

Player 2 Email Address:

Player 2 Physical Address: *

Player 3 Name:

Player 3 Phone:

Player 3 Email Address:

Player 3 Physical Address:

Player 4 Name:

Player 4 Phone:

Player 4 Email Address:

Player 4 Physical Address:

* required field

Please complete the item(s) outlined in red.

Cost: $150 per player, $600 per team.