Tournament Leader $50,000

Enrollment Form

Required fields are displayed in red

To ensure availability, this form should be submitted no later than September 19. If all attendee names are not known at the time of enrollment, please indicate "TBD" to reserve a slot. All names must be received by
October 7.

Sponsorship Information:

 
 

Please check item you would like to sponsor:

Please specify the promotional item with your company logo (quantity of 800) you would like to provide for the Classic Sponsor gift bags (optional):

Mailing Address:

 
 
 
 

Contact Information:

 
 


Please indicate for tax purposes: 

Up to 5 rooms at the Hyatt Regency Grand Cypress for the nights of November 14 and 15 (Please provide all participant names or indicate "TBD" to reserve slot)

Which 10 of your guests will be attending the following functions?
(Please check all boxes that apply for each guest)

Please select shirt size, room type and reservation dates for your guests.

Friday, November 14 Saturday, November 15
Room Name Shirt Size Room Type Dates Welcome
Reception
Major Sponsor
Reception
(Age 16 & older)
Buffet Breakfast Classic Banquet**
Preferred Seating
(Age 16 & older)
1a    In 
b Out 
2a    In 
b Out 
3a    In 
b Out 
4a    In 
b Out 
5a    In 
b Out 

**Please note if there are any special meal requests or dietary restrictions here:

HOTEL: If you wish to extend your stay or add additional rooms to your sponsorship, you may do so at a charge of $245 per room per night. The additional room fees may be pre-paid with your sponsorship contribution or may be paid to the hotel directly. Hotel check-in time is 4:00 pm. Every effort will be made to accommodate early arrivals. For more information, please contact the Classic Representative at Executive Incentives & Travel at (954) 420-3286.

Golf or Tennis for a total of 5 players.
Fill out either the Golf or Tennis section per person.
If Golf is selected, Handicap and Pairing Request will be required.
If Tennis is selected, either Beginning, Intermediate or Advanced will need to be selected.

Please provide participant names for each of the following categories, or indicate "TBD" to reserve a slot:

Saturday, November 15
  Name Golf or Tennis
1
Handicap:
Pairing Request:
2
Handicap:
Pairing Request:
3
Handicap:
Pairing Request:
4
Handicap:
Pairing Request:
5
Handicap:
Pairing Request:
Please note any additional requests you may have:

Please make your check payable to the Youth Automotive Training Center and mail to:

Jim Moran Classic Office
100 Jim Moran Blvd.
Deerfield Beach, FL 33442

If you wish to pay by credit card, please call (954) 949-4938 or e-mail anna.taqueti@jmfamily.com.

Please note there are separate forms for ground transportation and the Kids & Teens Program.

If you have any questions, please call the Classic Desk at (954) 420-3286 or e-mail jimmoranclassic@yatc.com.

Youth Automotive Training Center of Broward, Inc. A non-profit charitable organization - 501(c)(3)

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING 1-800-HELP-FLA (800-435-7352), WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

The registration number issued by the Florida Department of Agriculture & Consumer Services is CH1258. YATC does not retain any professional solicitors; therefore, 100% of each contribution that is received goes directly to YATC.