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Events

Golf Outing

July 19, 2024 | 10:00 AM

Join us on Friday, July 19th for our annual Rush Memorial Hospital Foundation Golf Outing at Antler Pointe Golf Course. Tee time is 10 am. More information to come!

Pricing

$400 – Foursome (SOLD OUT)

Sponsorships

Title – $5,000
Giveaway – $2,500
Lunch – $2,000
Award – $1,500
Hole-in-One – $1,750
Beverage Tent – $1,500
19th Hole – $1,500
Beverage Cart – $1,000
Hot Dog Stand – $1000
Cart – $500
Game #1 – $500
Game #2 – $500
Game #3 – $500
Donut Sponsor – $300
Hole Sponsor -$200

Registration

1Registration

2Waiver

3Payment

Registration Information
This field is hidden when viewing the form
I would like to register:
- Golf Foursome: $400
Event Sponsor
- I would like to sponsor the event.
Sponsor Name
Sponsorship Level- Choose one
- Hole-in-One -$1,750
- Award - $1,500
- Beverage Tent - $1,500
- Beverage Cart - $1,000
- 19th Hole - $1,000
- Hot Dog Stand - $1,000
- Cart - $500
- Game #1 - $500
- Game #2 - $500
- Game #3 - $500
- Donut Sponsor - $300
- Hole Sponsor - $200
Name*
First Last
Business Name
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Would you like to register your team members now?*
- Yes
- No
Player 1
First Last
Player 2
First Last
Player 3
First Last
Player 4
First Last
Additional Donation Amount
- $25
- $50
- $75
- $100
- Other
Other Amount
How did you hear about us?*
- Attended Event Last Year
- Rush Memorial Hospital Employee
- Community Signage
- Social Media
- Word of Mouth
Please read and check the following*
- I am aware that any photographs taken during the event may be used in future publications and I grant the Hospital and the Foundation all rights to use these photographs in any medium for educational, promotional advertising, or other purposes that support the mission of the Hospital and the Foundation.
Signature*
Date*
MM slash DD slash YYYY
Total
$0.00

Rush Memorial Hospital Foundation / Rush Memorial Hospital
Release and Waiver of Liability, Assumption of Risk, Indemnity and Parental Consent Agreement
Please read and check each of the following*
- IN CONSIDERATION of being permitted to participate in any way in any Rush Memorial Hospital Foundation or Rush Memorial Hospital event (“Activity”) I, for myself, my personal representative, assigns, heirs, and next of kin:
- ACKNOWLEDGE, agree and represent that I understand the nature of sports activities and that I am qualified, in good health and in proper physical condition to participate in such activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity.
- FULLY UNDERSTAND that: (a) SPORTS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions or in-actions, the actions or in-actions of others participating in the activity, the conditions in which the activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, and DAMAGES I incur as a result of my participation or that of the minor in the activity.
- HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Rush Memorial Hospital or the Rush Memorial Hospital Foundation, their administrators, directors, agents, officers, members, volunteers, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises on which the activity takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF the “RELEASEES”, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation, expense, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.
- I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Printed Name of Participant*
Phone*
Participant Signature*
Date*
MM slash DD slash YYYY

Payment Information
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Details

Starts On: July 19, 2024 @ 10:00 AM

Venue

Antler Point Golf Course

3510 N. 150 E.

Rushville, IN 46173

Bella Event

April 11, 2025
More Info to Come

PO Box 215, Rushville, IN 46173 765.932.7568 © 2025 All Rights Reserved.

Rush Memorial Hospital

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