REGISTRATION FORM

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					         REGISTRATION FORM
                                        COPS FOR KIDS
Name ___________________________
Address _________________________
                                        WITH CANCER
City _____________________________
State, Zip ________________________
Phone ___________________________
Email ____________________________


Player 1__________________________
Player 2__________________________
Player 3__________________________
Player 4__________________________


Cost:     $150 per player-Includes:
Welcome Gift, Use of Range, Green
Fees, Carts, Prizes for Top 3 Teams     JOHN V. DOW MEMORIAL
Net & Gross, Contests, and a              GOLF TOURNAMENT
Celtic Banquet (6:00 PM)
                                      Thursday, September 30, 2010
Payment by check to:                     Registration 12:00 Noon
Cops for Kids with Cancer
                                            Shotgun 1:00 PM
P.O.Box 850956
Braintree, MA 02185
                                      LEBARON HILLS COUNTRY CLUB
Registration and check must be           183 Rhode Island Road
received by September 23, 2010            Lakeville, MA 02347
               SCHEDULE                            COPS FOR KIDS WITH CANCER
        Registration – 12:00 Noon
         Shotgun Start – 1:00 PM                          Board of Directors
                                                                Chairman
   Celtic Banquet at 7:00 PM                                 Robert P. Faherty
     Le Baron Hills Country Club                                 President
   Entertainment - Silent Auction                             Helena Findlen
                                                              Vice President
                                                               Joan B. Dow
   Banquet Only                     $50                   Vice President, Ireland
                                                                Pat Hanlon
           SPONSORSHIPS                                          Treasurer
 All gold, silver and bronze sponsors will be            Charles Deegan (AHAC)                    Cops for Kids with Cancer was founded by
 recognized with a custom tee sponsorship                          Clerk                    Captain John Dow when he joined forces in
flag and be listed on the sponsor banner, in                  Patricia Eagar                2002 with Garda Det. Pat Hanlon to set up the
 the banquet program, and on our website.                                                   first golf tournament on both sides of the
                                                                                            Atlantic. The proceeds from that first event
    www.COPSFORKIDSWITHCANCER.org                               Directors                   were donated to the children’s cancer ward of
                                                                                            Mercy Hospital in Cork, Ireland.
GOLD                            $5,000                         Stacey Abato
Includes 2 foursomes and 4 guests                               Mary Ames                        Since that time, our organization has grown
for dinner at the Celtic Banquet                        Joseph C. Carter (AHAC)             and expanded in scope. We currently disburse
SILVER                          $1,500                     Rev. John J. Connolly            funds to individual families who are coping with
                                                              William Coulter               the drastic changes made when a child is
Includes 1 foursome and 2 guests
                                                            Christopher Cunniff             diagnosed with cancer. Their lives are turned
for dinner at the Celtic Banquet                                                            upside down and we attempt to ease a bit of
                                                        Stephen DaCorta (AHAC)
BRONZE                            $500                       Michael Drummy                 their burden. In addition, we continue to
Includes 4 guests for dinner at                                   Fred Fish                 donate to the children’s oncology units at
the Celtic Banquet                                                                          Mass. General and Tufts NEMC Hospitals. But
                                                                 Rita Foley
                                                                                            the fun part comes when we take the kids on
Hole Sponsor                      $200                        Robert Guiney                 outings. They have a ball and inspire us all with
                                                              John McManus                  their courage and ability to laugh in the face
    CONTACT INFORMATION                                  Mary McInness McGreal              of such adversity. Making them laugh, even for
                                                             Edward McNelley                a brief time, is the corner-stone upon which our
Bob Faherty, Ret. Boston PD   781-843-3904                Stephen Morrill (AHAC)            organization was built. With your support, we
Mike Drummy, State Police     617-429-5883                 Neil O’Leary (AHAC)              will continue to grow and do this rewarding
                                                               Miller Thomas                work.
Steve Morrill, Ret. FBI        978-658-6000
Chris Cunniff, Boston PD      617-773-4843      CFKWC is a 501(c) non-profit organization

				
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