Liv to Give Golf Tournament Hole Sponsorship Form

Full Tournament Details Here

Includes lunch at the golf tournament, dinner for two, & live auction.

Please register with your information here.

Name *

First

Last

Company Name *

Address *

City, State, Zip *

Email *

How Are You Paying? *

Cash - Please bring to 502 W. Blvd. Rapid City, SD 57701
Check - Please mail to: Rosemary Washnok 502 W. Blvd. Rapid City, SD 57701
Credit Card - please follow the link to pay on the next page.
Other (Sponsorship, Donation Fund, etc.)

*I hereby assign & grant Liv Hospitality the right & permission to use and publish the photographs/film/video/electronic representation and/or sound recordings made of me by Liv Hospitality. I hereby release Liv Hospitality & its entities from any and all liability from such use and publication. I authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/video/electronic representation and/or sound recording without limitation at the discretion of Liv Hospitality and its entities and I specifically waive any right to any completion I may have for any of the foregoing. *

I have read & acknowledged the above disclaimer.

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