Parent/Guardian Information

Full Name

Relationship to Child

Phone (mobile)

Country

State

City

Address

Prefered Contact

Child Information

Child's Full Name

Date of Birth *

Diagnosis

Treating Physician(s)

Hospital

Naming Preference

Privacy, Use & Liability

By consenting, you allow GP BOSSE 4 FOUNDATION to use submitted content for awareness, education, and fundraising. We will not share personal details beyond what you provide. Materials published online can be viewed and shared by the public.

I am the parent/legal guardian and consent to the above use.

I exempt GP BOSSE 4 FOUNDATION , its directors, volunteers, and partners from liability related to media use.

E‑Signature

Type Your Full Name

Date

Draw Signature (mouse or finger)

Your drawn signature will be securely submitted with the form

Biography & Media Upload

Biography

Child's Bio / Story (750–1000 characters recommended)

Upload Photos

Max 5 photos • Up to 6 MB each (jpg, jpeg, png files only)

Upload Videos (optional)

Max 2 videos • Up to 100 MB each (mp4, mov files only)

Questions? Contact gpbosse4foundation@gpbosse4foundation.com

Sponsorship Opportunities

Primary Contact

Business

Phone

Sponsor a Hole $1000 (12 available) - Company logo listed on signage at one hole PUTTING GREEN $3,000 - Company logo listed on signage at putting green - (no longer available) DRIVING RANGE $2,000 - Company logo listed on signage at driving range (1 available) CLOSEST TO THE PIN $2000 - Company logo listed on signage at hole - (no longer available) LUNCH BUFFET $5000 - Company logo listed at lunch station - (no longer available) HOLE#4 - **WILL BE AUCTIONED OFF TO THE HIGHEST BIDDER** -Bidding starts at $1000

Place your Bid for HOLE#4

The foundation will contact you with a link for payment.

Register Team

*If signing up as an individual, please complete Primary Team Contact.

Primary Team Contact

Phone

Player 2

Phone

Player 3

Phone

Player 4

Phone

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TICKETS TO LUNCH AND THE AWARDS CEREMONY ( LIMITED QUANTITY )

GET TICKETS TO LUNCH AND THE AWARDS CEREMONY

Please tell us how many tickets you are requesting

The foundation will contact you with a link for payment.

SJIA Living Tiger

Parent/Guardian Information

Biography & Media Upload

Sponsorship Opportunities

Register Team

*If signing up as an individual, please complete Primary Team Contact.

The foundation will do our best to accommodate, but does not guarantee team placement.