The 26Thannual Jack in the Box Charity Golf Tournament

The 26thAnnual Jack in the Box Charity Golf Tournament

La Quinta Resort & Club, La Quinta, Calif.

April 13-14, 2016

TOURNAMENT & EVENTS REGISTRATION

Register online at Or, complete registration/attendee forms and fax, email or mail as shown on page two. Please register ASAP as golf spots are sure to sell out! (No refunds after March 1.)

First Name: ______Last Name: ______

(You will be shown as contact for your group)

Company Name:

Address:

(street/city/state/zip)

Phone: ( ) ______Email:______

(Please provide email address!)

Will you participate in the Jack in the Box® Charity Golf Tournament?YesNo

______

Number of attendees you are registering: ______

Please select package(s) for you and your attendees:

Golf Tournament Package:(#) _____@ $650 ea. $______

The $650 Golf Package includes admission tothe Jack in the Box

Welcome Reception on April 13 and to the Golfers’ Breakfast,

Golf Tournament, Golfers’Luncheon and Charity Banquet on

April 14, plus a “Jack Gift Pack,” which you will pick up at

event registration. Jack Gift Packs include a selection of apparel

and accessories, with a retail value of $325.

(Charity Banquet is for adults only--21 years and older.)

Non-Golf Packages:

Spa Package:(#) _____ @ $650 ea.$

The $650 Spa Package includes a $175 gift card for Spa La Quinta,

plus admission to the Jack in the Box Welcome Reception on April 13

and the Charity Banquet on April 14, plus a “Jack Gift Pack,”

which you will pick up at event registration. Jack Gift Packs

include a selection of apparel and accessories, with a retail

value of $325.

(Charity Banquet is for adults only--21 years and older.)

Welcome Reception/Charity Banquet Package:(#) _____ @ $350 ea.$

The $350 Welcome Reception and Charity Banquet Package

includes admission to the Jack in the Box Welcome Reception

on April 13 and the Charity Banquet on April 14.

(Charity Banquet is for adults only--21 years and older.)

Welcome Reception/Charity Banquet + Jack Gift Pack

Package: (#) __ @ $575 ea. $______

The $575 Welcome Reception/Charity Banquet + Jack Gift

Pack Package includes admission to the Jack in the Box Welcome

Reception on April 13 and the Charity Banquet on April 14, plus a

“Jack Gift Pack,” which you will pick up at event registration. Jack

Gift Packs include a selection of apparel and accessories, with a retail

value of $325.

Charity Banquet Package:(#) _____ @ $250 ea.$

The $250 Charity Banquet Package includes admission to the

Jack in the Box Charity Banquet on April 14. (Charity Banquet

is foradults only--21 years and older.)

Charity Banquet + Jack Gift Pack Package:(#) _____ @ $475 ea.$

The $475 Charity Banquet + Jack Gift Pack Package includes

admission to the Jack in the Box Charity Banquet on April 14, plus

a“Jack Gift Pack,” which you will pick up at event registration.

Jack Gift Packs include a selection of apparel and accessories,

with a retail value of $325.

Young Guests’ Welcome Reception Package:

4 years and under (free admission); 5-11 years ($80); 12 years(#) _____ @$80 ea.$

and older (must purchase an adult package). Fee covers Welcome

Reception only for young guest.

TOTAL AMOUNT DUE:$

Mini Tournament: Niall Armstrong of Robert E. Harris Insurance Agency is coordinating the 2016 Mini Tournament, which will be held on Wednesday, April 13, at 9:30 a.m., at La Quinta Resort & Club, Dunes Course. To register, please contact Niall at 714.824.6830 or . Limited to the first 80 golfers. Fee is $120 per golfer, which covers green fees and cart fees. Reservations must be received no later than March 15.
Please makeMini Tournamentchecks payable to Niall Armstrong and mail to:
Niall Armstrong / Robert E. Harris Insurance Agency
3150 S. Bristol Street, Ste. 200, Costa Mesa, CA 92626
Payment by credit card:
Full name as shown on card:
Card Type:MasterCard VisaAmerican Express
Card No.:______
Expiration date:Billing address zip code:
Security code:______
Please email completed form toKathy Kovacevich at r fax to 858.571.2225.
Payment by check: Please consider paying by check. You’ll help reduce credit card fees and increase our charity donation to Big Brothers Big Sisters! Please make your check payable to The Jack in the Box Foundation and mail to:
Kathy Kovacevich /The Jack in the Box Foundation
9330 Balboa Avenue
San Diego, CA 92123
The Jack in the Box Foundation is a 501(c)(3) non-profit organization.
Donations are tax deductible, as allowable by law.
Questions? Email: Phone: 858.571.2544

The 26thAnnual Jack in the Box Charity Golf Tournament

April 13-14, 2016 / La Quinta Resort & Club / La Quinta, Calif.

attendee form

Please complete for all attendees you are registering. If registering more than four, please photocopy form. Attendee names provided will be used for name badges. Only registered attendees will be allowed to attend scheduled events.

Attendee #1: First Name:Last Name:______

(Please list yourself as Attendee #1 -- you will be the primary contact for your group)

Company Name:______

Address:______

(street/city/state/zip)

Phone: ( ) ______Email: ______

(Please provide email address!)

Attendee #1 JIB Franchisee JIB Vendor JIB Employee Other (Spouse/Child/Friend)

Will Attendee #1 participate in the Jack in the Box Golf Tournament? Yes No

If yes, which event(s) will Attendee #1 attend?

Welcome Reception, Wed., April 13

Golf Tournament, Thurs., April 14Golfers Lunch, Thurs., April 14

Golfers Breakfast, Thurs., April 14Charity Banquet, Thurs., April 14(Vegetarian? )

Charity Banquet is for adults only (21 years and older)

If a Non-Golfer, for which package is Attendee #1 registering?

Welcome Reception/Charity Banquet Charity Banquet Only Spa Package Young Guests’ Pkg.

Does Attendee #1 plan to stay at La Quinta Resort & Club? Yes No

Attendee #2: First Name:Last Name:______

Company Name:______

Address:______

(street/city/state/zip)

Phone: ( ) ______Email: ______

(Please provide email address!)

Attendee #2 JIB Franchisee JIB Vendor JIB Employee Other (Spouse/Child/Friend)

Will Attendee #2 participate in the Jack in the Box Golf Tournament? Yes No

If yes, which event(s) will Attendee #2 attend?

Welcome Reception, Wed., April 13

Golf Tournament, Thurs.,April 14Golfers Lunch, Thurs., April 14

Golfers Breakfast, Thurs., April 14Charity Banquet, Thurs., April 14 (Vegetarian? )

Charity Banquet is for adults only (21 years and older)

If a Non-Golfer, for which package is Attendee #1 registering?

Welcome Reception/Charity Banquet Charity Banquet Only Spa Package Young Guests’ Pkg.

Does Attendee #2 plan to stay at La Quinta Resort & Club? Yes No

The 26thAnnual Jack in the Box® Charity Golf Tournament -- Attendee Form

Attendee #3: First Name:Last Name:______

Company Name:______

Address:______

(street/city/state/zip)

Phone: ( ) ______Email: ______

(Please provide email address!)

Attendee #3 JIB Franchisee JIB Vendor JIB Employee Other (Spouse/Child/Friend)

Will Attendee #3 participate in the Jack in the Box Golf Tournament? Yes No

If yes, which event(s) will Attendee #3 attend?

Welcome Reception, Wed., April 13

Golf Tournament,Thurs.,April 14Golfers Lunch, Thurs., April 14

Golfers Breakfast, Thurs., April 14Charity Banquet, Thurs., April 14 (Vegetarian? )

Charity Banquet is for adults only (21 years and older)

If a Non-Golfer, for which package is Attendee #3 registering?

Welcome Reception/Charity Banquet Charity Banquet Only Spa Package Young Guests’ Pkg.

Does Attendee #3 plan to stay at La Quinta Resort & Club? Yes No

Attendee #4: First Name:Last Name:______

Company Name:______

Address:______

(street/city/state/zip)

Phone: ( ) ______Email: ______

(Please provide email address!)

Attendee #4 JIB Franchisee JIB Vendor JIB Employee Other (Spouse/Child/Friend)

Will Attendee #4 participate in the Jack in the Box Golf Tournament? Yes No

If yes, which event(s) will Attendee #4 attend?

Welcome Reception, Wed., April 13

Golf Tournament, Thurs.,April 14Golfers Lunch, Thurs., April 14

Golfers Breakfast, Thurs., April 14Charity Banquet, Thurs., April 14 (Vegetarian? )

Charity Banquet is for adults only (21 years and older)

If a Non-Golfer, for which package is Attendee #4 registering?

Welcome Reception/Charity Banquet Charity Banquet Only Spa Package Young Guests’ Pkg.

Does Attendee #4 plan to stay at La Quinta Resort & Club? Yes No

REQUESTED GOLF PARTNERS:______

Please submit completed form by email toor fax to 858.571.2225 or mail to:

Kathy Kovacevich /The Jack in the Box Foundation / 9330 Balboa Avenue / San Diego, CA 92123

Questions? Please contact Kathy Kovacevich by email or phone at 858.571.2544.