Take A Swing At Cancer Registration – Health Care Foundation of North Mississippi

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About
How Can I Give?
Special Events
Employees
Physicians

Register for
Take a Swing at Cancer Events

May 3 - May 4, 2026

Old Waverly and Mossy Oak Golf Club

Benefiting the North Mississippi Medical Center
Cancer Care Assistance Fund

Take a Swing at Cancer Brochure

Vendor Village Brochure

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Registration Status

I am an NMMC Hospital Vendor
I would like to Sponsor the event
I would like to register as a participant

Vendor

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Company Name *

Notes or Requests

Email *

Do you plan to attend Vendor Village? *

Yes
No

Vendor Partnership Opportunities *

$3,000
$5,000
$7,500
$10,000

$3,000 Vendor Village Bronze Sponsor

1.5 hours of display/networking time at Vendor Village
Includes table & display space
Two tickets to evening reception

Name 1 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

$5,000 Vendor Village Silver Sponsor

1.5 hours of display/networking at Vendor Village
Includes table/display space
Two tickets to evening reception
Your logo as a sponsor on Vendor Village and other event signage

Name 1 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

$7,500 Vendor Village Beverage Gold Sponsor

A1.5 hours of display/networking at Vendor Village
Includes table/display space
Two tickets to evening reception
One golf team
Overnight accommodations on Sunday night (1 room)
Your logo as a sponsor on Vendor Village and other event signage

Golf Flight Preference

Monday, 4th Old Waverly - 8:15 AM
Monday, 4th Old Waverly - 1:30 PM
Monday, 4th Mossy Oak - 8:15 AM
Monday, 4th Mossy Oak - 1:30 PM

Golfer 1 *

First

Last

Golfer 3 *

First

Last

Name 1 for Evening Gala *

First

Last

Golfer 2 *

First

Last

Golfer 4 *

First

Last

Name 2 for Evening Gala *

First

Last

$10,000 Vendor Village Presenting Sponsor

1.5 hours of display/networking at Vendor Village
Includes table/display space
Four tickets to evening reception
Premium signage at Vendor Village
One golf team
Four bedroom condo onsite

Golf Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 AM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 AM

Golfer 1 *

First

Last

Golfer 3 *

First

Last

Name 1 for Evening Gala *

First

Last

Name 3 for Evening Gala *

First

Last

Golf Flight Preference (copy)

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 AM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 AM

Golfer 2 *

First

Last

Golfer 4 *

First

Last

Name 2 for Evening Gala *

First

Last

Name 4 for Evening Gala *

First

Last

Name for Overnight Accommodation *

First

Last

Do you need additional options?

Monday Golf Team
Gala Tickets
Tennis Tournament Registration

Golf Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 AM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 AM

How many additional teams?

1
2
3
4
5

Addtional Gala Tickets?

1
2
3
4
5

Overnight Accommodation

1
2
3
4
5

Number of Tennis Players

1 Player (Sunday OR Monday)
2 Players (Sunday OR Monday)
3 Players (Sunday OR Monday)
4 Players (Sunday OR Monday)
5 Players (Sunday OR Monday
1 Player (Both Days)
2 Players (Both Days)
3 Players (Both Days)
4 Players (Both Days)
5 Players (Both Days)

Include names for each ticket holder

Include names for overnight registration

Include names for each tennis player, email, tennis level, and day playing

Golf Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer 1 *

First

Last

Golfer 3 *

First

Last

Golfer 2 *

First

Last

Golfer 4 *

First

Last

Sponsor

Sponsorships

Par - $1,000.00
Birdie - $2,500.00
Eagle - $3,000.00
Double Eagle - $5,000.00
Ace - $7,500.00
Masters - $10,000.00
Reception - $12,000.00
Welcome - $5,000.00
Tennis Tournament - $2,500.00

Par

Hole sponsorship

Birdie

Hole sponsorship
One golf team

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Eagle

Official Putting Green or Driving Range Sponsor
One golf team

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Double Eagle

Official Courtesy Cart Sponsor
Premium signage
Two golf teams

Team 1

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Team 2

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Ace

Official Lunch Sponsor
Premium signage
Two golf teams
Two reception tickets

Team 1

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Team 2

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Other

Name 1 of Evening Gala *

First

Last

Name 2 of Evening Gala *

First

Last

Masters

Presenting Sponsor(s)
Premium signage
Four reception tickets
3 golf teams (Sunday or Monday) if you would like Sunday Tee time please email claire.hughes@nmhs.net or call 662-377-3613
Four-bedroom condo onsite

Team 1

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Team 2

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Team 3

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Other

Name 1 for Evening Gala *

First

Last

Name 3 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

Name 4 for Evening Gala *

First

Last

Name for Condo Reservation *

First

Last

Welcome Sponsor

Your logo included in all welcome materials which, are given to everyone who stays overnight during the event

File Upload

Drag & Drop Files, Choose Files to Upload

Reception Sponsor

Sponsor of the evening reception
Signature cocktail served in logo cups
Four Bedroom Condo Onsite
Two golf teams (Sunday or Monday) If you would like Sunday T time please email claire.hughes@nmhs.net or call 662-377-3613

File Upload (copy)

Drag & Drop Files, Choose Files to Upload

Team 1

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Team 2

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Name for Condo Reservation *

First

Last

Tennis Tournament

Premium signage at golf & tennis tournaments
Two Tennis registrations

Name 1 of Tennis Player *

Name 2 of Tennis Player *

Email *

Email *

Tennis Level

Tennis Level

Participant

Ways to participate

Stay and Play - $4,000
Sunday Four-Person Medal Play Tournament- $1,750.00
Monday Four-Person Golf Team Registration - $1,750.00
2 Gala Tickets and Overnight Accommodations - $550.00
2 Gala Tickets - $150.00
3 Gala Tickets - $225.00
4 Gala Tickets - $300.00
5 Gala Tickets - $375.00
Tennis Tournament 1 Day (Sunday OR Monday) - $100.00
Tennis Tournament 2 Days (Both Days) - $175.00
Golf Package - $50

Name 1 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

Name 3 for Evening Gala *

First

Last

Name 4 for Evening Gala *

First

Last

Name 5 for Evening Gala *

First

Last

Stay and Play

Our most popular option. Reserve your spot early.
Team of four in Sunday's Medal Play Tournament AND Monday's four person scramble
8 tickets to Sunday night reception
Overnight accommodations (four rooms)
Breakfast/lunch on Monday

Flight Preference

Sunday, Old Waverly - Tee time to be assigned
Sunday, Mossy Oak - Tee time to be assigned

To accomodate all golfers please choose alternating courses. For example, if Old Waverly is chosen on Sunday, please choose Mossy Oak on Monday.

For Special Requests please contact Claire.Hughes@nmhs.net or 662-377-3613.

Golfer 1 *

First

Last

Golfer 3 *

First

Last

Golfer 2 *

First

Last

Golfer 4 *

First

Last

Name for Overnight Accommodation *

First

Last

Name 1 for Evening Gala *

First

Last

Name 3 for Evening Gala *

First

Last

Name 5 for Evening Gala *

First

Last

Name 7 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

Name 4 for Evening Gala *

First

Last

Name 6 for Evening Gala *

First

Last

Name 8 for Evening Gala *

First

Last

Sunday / Four-Person Medal Play Tournament Registration

Flight Preference

Sunday, Old Waverly - Tee time to be assigned
Sunday, Mossy Oak - Tee time to be assigned

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Monday / Four-Person Scramble Team Registration

Flight Preference

Monday 4th, Old Waverly - 8:15 AM
Monday 4th, Old Waverly - 1:30 PM
Monday 4th, Mossy Oak - 8:15 AM
Monday 4th, Mossy Oak - 1:30 PM

Golfer Name 1 *

First

Last

Golfer Name 3 *

First

Last

Golfer Name 2 *

First

Last

Golfer Name 4 *

First

Last

Two Gala Tickets and Overnight Accommodations (One Room)

Name 1 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

Name for Overnight Accommodation *

First

Last

Gala Tickets

Tennis Tournament Sunday or Monday

Tennis Tournament

Day

Sunday
Monday

Days

Both Sunday & Monday

Tennis Players Name and Levels

Tennis Players Name and Levels

Golf Package

Golf Package

How Would You Like to Pay? *

Pay Online
Invoice

Total

$0.00

Authorize.Net *

Card Number

Expiration

/

Security Code

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