Questions
Confirmation

Golf Tournament Registration

SATURDAY, OCTOBER 25, 2025

Palm Aire Country Club

3701 Oaks Clubhouse Drive, Pompano Beach FL, 33069

SCHEDULE

11:30 A.M. Registration – Range Warm Up

1:00 P.M. Shot Gun Start

5:00 P.M. Italian Buffet Dinner, Raffle, Silent Auction

FEES: $175 Per Player (18 Holes Golf with Italian Buffet Dinner) OR $35 (Dinner only)

PRIZES: 1st, 2nd, 3rd Prizes, Hole In One, Longest Drive, Closest to Pin, Putting Contest, Raffle & More!

What is your Golf Team's Name (Optional) Please enter your team name if you have one. Be creative!

How many Players on Your Team?* Please enter the number of players in your team from 1-4

Team Contact: Player One First and Last Name:* Please enter the first and last name of the contact person for this team.

Team Contact: Player One Phone:* Please enter the telephone number of the contact person for this team.

Team Contact: Player One Email:* Please enter the email of the contact person for this team.

Team Player 2: First and Last Name: Please enter the first and last name of the Team Player 2 for this team. (optional if you are registering as an individual).

Team Player 2 Phone: Please enter the telephone number of the Team Player 2 for this team. (optional if you are registering as an individual).

Team Player 2 Email: Please enter the email of the Team Player 2 for this team. (optional if you are registering as an individual).

Team Player 3: First and Last Name: Please enter the first and last name of the Team Player 3 for this team. (optional if you are registering as an individual or a double).

Team Player 3 Phone: Please enter the telephone number of the Team Player 3 for this team. (optional if you are registering as an individual or a double).

Team Player 3 Email: Please enter the email of the Team Player 3 for this team. (optional if you are registering as an individual or a double)

Team Player 4: First and Last Name: Please enter the first and last name of the Team Player 4 for this team. (optional if you are registering as an individual, a double or a triple).

Team Player 4 Phone: Please enter the telephone number of the Team Player 4 for this team. (optional if you are registering as an individual, a double or a triple).

Team Player 4 Email: Please enter the email of the Team Player 3 for this team. (optional if you are registering as an individual or a double)

Would your team like to contribute a Silent Auction/Raffle Item/Goodie Bag Promo/Monetary donation?* Wanted: AUCTION + RAFFLE ITEMS! Would you like to help? It's the little extras that help to make events like this so much fun! We would like to provide as many goodie bag and raffle items possible. If you have something you would like to contribute, such as gift certificates, baskets, promotional items or hockey/golf related items, please click YES below and we will be in touch! THANK YOU FOR YOUR CONTINUED SUPPORT! We are a non-profit and we can provide a tax receipt for any donations made!

if YES, please describe the Silent Auction/ Raffle Item/Monetary donation: Will your team contribute a Silent Auction/ Raffle Item/Goody Bag Promo Item or Monetary donation? If YES, please describe it below. (If not that's okay too, just leave this blank)

Will you require a receipt for your donation? We appreciate your contribution. We are a non-profit and we can provide a tax receipt for any donations made!

Yes

Not Applicable

Fees and Sponsorships* Fees: # Players = $175.00 each Player Corporate Sponsorship (Foursome) = $700.00 Corporate Sponsorship Foursome & 2 Signs Included = $700 + $75 for 2 signs =$775 Corporate Signage Only (Name & Logo On Hole Sponsorship Sign) = $60.00 each

Total for 1 Player (only) = $175

Total for 2 Players = $350

Total for 3 Players = $525

Total for 4 Players = $700

Corporate Sponsorship Foursome & 2 Signs Included = $775

Corporate Signage Only (Name & Logo On Hole Sponsorship Sign) = $60.00 each sign

PAYMENT Method? Payment guarantees Registration!* Please be sure to pay no later than September 30, 2025

Venmo : @luckypucks (Reference GOLF: team or contact name)

Zelle: zelle@luckypuckshockey.org (Reference GOLF: team or contact name)

I agree that Payments will secure my spot and are non-refundable.* I understand that by filling this form, I am committing to attend the golf tournament. I understand that the donations collected are non-refundable. I understand that my PAYMENT is what secures my spot for an awesome day of golf. I am ready to have an amazing time supporting a great charity and Female Hockey in South Florida!

Yes, I agree....Let's do this!

Which Lucky Pucker referred you? (please provide their first/last name)*

RELEASE OF LIABILITY AND ASSUMPTION OF RISK* RELEASE OF LIABILITY AND ASSUMPTION OF RISK The individual named below (referred to as "I" or "me") desires to participate in ice hockey, and other ice-related activities and associated ancillary activities (the "Activity") provided by, sponsored by, coordinated by or offered jointly with Lucky Pucks Hockey Club Inc, a Florida corporation (the "Company"), including but not limited to fundraising events, charity tournaments, and social or recreational club activities organized by the Company. In consideration of being permitted by the Company to participate in the Activity and in recognition of the Company's reliance hereon, I agree to all the terms and conditions set forth in this instrument (this "Release"). I AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY DANGEROUS ACTIVITY AND INVOLVES THE RISK OF PERSONAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, TEMPORARY OR PERMANENT DISABILITY, DEATH, PROPERTY DAMAGE, AND/OR FINANCIAL LOSS. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF THE COMPANY, INCLUDING NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF THE COMPANY. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM KNOWINGLY AND VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH AN EXPRESS UNDERSTANDING OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY, DEATH, AND/OR PROPERTY DAMAGE ARISING FROM MY PARTICIPATION IN THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE COMPANY OR OTHERWISE. I hereby expressly waive and release any and all claims, now known or hereafter known, against the Company, and its officers, directors, manager(s), employees, agents, affiliates, shareholders/members, successors, and assigns (collectively, "Releasees"), arising out of or attributable to my participation in the Activity, whether arising out of the ordinary negligence of the Company or any Releasees or otherwise. I covenant not to make or bring any such claim against the Company or any other Releasee, and forever release and discharge the Company and all other Releasees from liability under such claims. I shall defend, indemnify, and hold harmless the Company and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable attorney fees, fees, the costs of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance providers, incurred by the Company or any other Releasees arising out or resulting from any claim of a third party related to my participation in the Activity, including any claim related to my own negligence or the ordinary negligence of the Company. I hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless the Company from any claim based on such treatment or other medical services. This Release constitutes the sole and entire agreement of the Company and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of the Company and me and our respective heirs, successors, and assigns. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of Florida without giving effect to any choice or conflict of law provision or rule (whether of the State of Florida or any other jurisdiction). Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Broward County, Florida and I hereby consent to the exclusive jurisdiction of such courts. BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.

I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.

Type your First and Last Name* BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.

Questions, please enter them here or email us! For more information on our Golf Tournament or if you'd like us to add you to our golf tournament e-mail list, please drop us a line golf@luckypuckshockey.org

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