RBM Charity Golf Scramble (Lafayette, LA) - Monday, February 9, 2026
Registration fees include green fee, cart fee, food, drinks, range balls, and chances to win GREAT prizes!
Captain Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Team Information
Team Name
*
Company or Sponsor Logo
Upload (8MB)
Player One
Name
*
Golf Polo Shirt Size
*
Please select one option.
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Select Option
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Player Two
Name
*
Golf Polo Shirt Size
*
Please select one option.
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Select Option
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Player Three
Name
*
Golf Polo Shirt Size
*
Please select one option.
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Select Option
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Player Four
Name
*
Golf Polo Size
*
Please select one option.
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Select Option
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Payment
Payments can be made via ACH, credit card, or by mailing a check to Red Bird Ministries at 217 S. Main St., Breaux Bridge, LA 70517.
Options
Pay by Check ($0)
Team ($1,200.00)
Breakfast Sponsor ($750)
Lunch Sponsor ($1,000)
Eagle Sponsor ($3,000.00)
Double Eagle Sponsor ($5,000.00)
Hole-in-One Sponsor ($10,000.00)
Pay by Check ($0)
Team ($1,200.00)
Breakfast Sponsor ($750)
Lunch Sponsor ($1,000)
Eagle Sponsor ($3,000.00)
Double Eagle Sponsor ($5,000.00)
Hole-in-One Sponsor ($10,000.00)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Registration fees include green fee, cart fee, food, drinks, range balls, and chances to win GREAT prizes!
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