Haley's SIDS Scramble Registration

Kansas Infant Death and SIDS Network, Inc.

Haley's 22nd Annual SIDS Scramble will be held Monday, August 22, 2022 at 12pm at Terradyne Country Club in Wichita, KS. Complete the form below to register. Please call the KIDS Network at 316-682-1301 with questions.

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* 1. How will you participate in Haley's SIDS Scramble

In-Person: $175 per golfer/$700 per team

Virtually: $50 per golfer/$200 per team

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* 2. Captain Last Name

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* 3. Captain First Name

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* 4. Company Name

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* 5. Company Address

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* 6. Email

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* 7. Phone Number

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* 8. Player 2 Name

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* 9. Player 3 Name

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* 10. Player 4 Name

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* 11. Payment Type

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* 12. Comments/Questions