Registration Form play Fore the Kids • 2014 Golf & Tennis Outing Register online at stamfordjcc.org. For more information, contact Shannon Jacobs at 203-487-0965 or [email protected]. Jewish Community Center • 1035 Newfield Avenue • Stamford, CT 06905 Name ________________________________________________________________________________ Street Address ________________________________________________________________________ City ________________________________________________ State __________ Zip _________________ Memorial Golf & Tennis Outing playFore the Kids to benefit JumpStart at the Jewish Community Center Monday, June 2, 2014 Rockrimmon Country Club • Stamford, Connecticut Daytime Phone ______________________________ Cell Phone ______________________________ E-mail _________________________________________________________________________________ Sponsorship name to read _____________________________________________________________ Please include me as a sponsor in the following category: o Hole-in-One Sponsor $10,000* o Eagle Sponsor $7,500* o Birdie Sponsor $5,000* o Golf Skills Contests $750 each Underwriting Opportunities: o Golf Gloves $3,500 o Golf Shirts $3,500 o Athletic Gear Bags $3,500 o Golf Umbrellas $2,500 SOLD o Awards Dinner $2,500 o Golf & Tennis Lunch $1,800 o Driving Range $1,000 Players: How many? o Fore the Kids Foursome $3,000* _________ o Birdie Player $ 595* __________ o Par Player $475 __________ o Ace Tennis Player $300** __________ o Tennis Player $ 150 __________ o Dinner Only $200 __________ (Longest drive, closest to the pin, closest to the line) o Tennis Breakfast $ 500 o Hole/Tee Sponsor $ 500 o Tennis Court Sponsor $500 Total Amount: _________ Please list the names of all players below. ________________________________________ ________________________________________ ________________________________________ ________________________________________ ____ I cannot attend, but would like to make a contribution in memory of Julius B. and Edward Kuriansky and in support of JumpStart at the JCC Total $___________  Check enclosed (payable to JCC Golf & Tennis Outing)  Charge my > < = Acct.# _______________________________________ exp. date ____ /____ Name on card: ______________________________ Signature_______________________ Donations: Items for Raffle or Silent Auction gratefully accepted. Item: ________________________________________________ Value: $________________ * Amounts in excess of $425 per golfer are tax deductible to the extent permissible by law ** Amounts in excess of $120 per tennis player are tax deductible to the extent permissible by law The Jewish Community Center of Stamford is a 501(c)(3) charitable organization. See reverse for information on corporate matching gifts programs. k 21st Annual Julius B. and Edward Kuriansky 21st Annual Julius B. and Edward Kuriansky Memorial Golf & Tennis Outing Proceeds from the Julius B. and Edward Kuriansky Memorial Golf and Tennis Outing, this year celebrating its 21st anniversary, support the JCC’s JumpStart preschool education program for children with special needs. The only program of its kind in Fairfield County, JumpStart is a unique and progressive early childhood experience serving children with a wide range of physical and developmental needs. Classroom sessions strive to foster each child’s confidence, development, and comfort level, with the goal being successful transition into a community school program. The JCC’s early childhood development experts encourage JumpStart students to practice emerging language and motor skills in a safe, fun and accepting environment. Now in its tenth year at the JCC, JumpStart students receive individual attention with a nearly one-to-one student to teacher ratio. Professional instructors and specially trained volunteers encourage exploration, experimentation, problem solving and mastery of skills, to help each child grow comfortably, learn at his or her own pace, and build a solid educational foundation. The program is not only a developmental resource for children, but also for their frequently overwhelmed parents. Tuition is based on a sliding scale, and the JCC is committed to the philosophy that no child should be denied access due to financial hardship. With your generosity and that of the Kuriansky family, all proceeds from FORE THE KIDS will help fund the substantial scholarship money needed each year to allow children with special needs to benefit from this wonderful program. In case of inclement weather . . . In case of heavy rain, the management of Rockrimmon Country Club will make the determination of whether play can take place based on course conditions and player safety. In the unfortunate event of cancellation due to inclement weather, the JCC will make every effort to reschedule the Golf Outing. Register online at stamfordjcc.org. For more information, contact Shannon Jacobs at 203-487-0965 or [email protected]. The JCC is a non-profit social service agency whose mission is to enrich the quality of life for families and individuals through its programs and services. JCC membership is open to everyone. No one is denied membership because of race or religion. Financial assistance is provided to those who meet the criteria and to the extent of funds available. The JCC is a recipient agency of the United Jewish Federation of Greater Stamford, New Canaan and Darien, and United Way of Western Connecticut. playFore the Kids to benefit JumpStart at the JCC, a unique and progressive early education program for children with special needs Monday, June 2, 2014 at Rockrimmon Country Club 2949 Long Ridge Road, Stamford, Connecticut 21st Annual Julius B. and Edward Kuriansky Memorial Golf & Tennis Outing playFore the Kids to benefit JumpStart at the Jewish Community Center Monday, June 2, 2014 Rockrimmon Country Club • Stamford, Connecticut The annual Golf & Tennis Outing is held in memory of Julius B. and Edward Kuriansky, whose dedication and commitment to the JCC are legendary. Now in its 21st year, proceeds from the outing go to support the JumpStart program at the JCC, a unique and progressive early childhood program for two- and three-year-olds with a full range of special needs. The JCC’s JumpStart program is the only one of its kind in Fairfield County. Tuition is based on a sliding scale, and the JCC is committed to the philosophy that no child should be denied admission due to financial hardship. The program is funded through voluntary contributions and through general operating support provided by the JCC. Schedule 9:00 a.m. Check-in begins and driving range opens for golfers Courtside continental breakfast for tennis players 9:30 a.m. Morning tennis, match play 11:30 a.m. Buffet lunch for tennis players and golfers served in the clubhouse 12:45 p.m. Shotgun start for golfers Closest-to-the-pin contest on Hole #7 Hole-in-one contest on Hole #9 Longest drive contest on Hole #14 Putting contest at the turn Afternoon tennis, play with the pro 3:00 p.m. Late afternoon tennis, warm-up with the pro, and match play 5:30 p.m. Awards dinner and cocktails Raffle drawing and silent auction Presentation of awards and prizes Sponsorship Levels Players Hole-in-One Sponsor - $10,000 Fore the Kids Foursome - $3,000 • Presenting-sponsor recognition at the awards dinner • 8 Birdie golf players and/or Ace tennis players, including lunch and awards dinner • Special bonus items for all players at check-in, • Name and logo recognition, two tee box signs • Recognition in program • Four players for lunch, golf and awards dinner • Special bonus items for all Fore the Kids Foursomes at check-in Eagle Sponsor - $7,500 • Presenting-sponsor recognition at the awards dinner • 8 Birdie golf players and/or Ace tennis players, including lunch and awards dinner • Special bonus items for all players at check-in, • Name and logo recognition, two tee box signs • Recognition in program Birdie Sponsor - $5,000 • Presenting-sponsor recognition at the awards dinner • 4 Birdie golf players and/or Ace tennis players, including lunch and awards dinner • Special bonus items for all players at check-in, • Name and logo recognition, two tee box signs • Recognition in program Birdie Player - $595 • One player for lunch, golf and awards dinner • Special bonus items for all Birdie players at check-in Par Player - $475 • One player for lunch, golf and awards dinner Ace Tennis Player - $300 • One player for tennis, lunch and awards dinner • Name recognition in program • Bonus gift items Tennis Player - $150 • One player for tennis (morning or afternoon), breakfast & lunch or awards dinner Dinner Only - $200 Underwriting Opportunities • Golf Gloves $3,500 • Golf Shirts $3,500 • Athletic Gear Bags $3,500 • Golf Umbrellas $2,500 SOLD • Awards Dinner $2,500 • Golf & Tennis Lunch $1,800 • Driving Range $1,000 • Golf Skills Contests, Longest Drive, Closest to Pin, Closest to Line, $750 ea. • Tennis Breakfast $500 • Hole/Tee Sponsor $500 • Tennis Court Sponsor $500 Double your support! As a registered non-profit organization, the Stamford Jewish Community Center is eligible for many employers’ Corporate Matching Gifts programs. Simply obtain a matching gift form from your human resources department or company website, fill in the few required spaces and submit it to your employer or the Stamford Jewish Community Center according to the directions on the form. The JCC’s tax ID # is 06-0646918. We will be happy to assist you with a matching gift. Please contact Shannon Jacobs at 203-487-0965 or [email protected]. Event Committee Co-chairs: Garry Feldman and Craig L. Price Jordan Bick Jill Blomberg Ken Broder Melissa Broder Bob Dorf Fran Dorf Greg Fuchs Jenny Fuchs Jeff Goldblum Risa Goldblum Nanci Kirshner Marc Kirshner Brian Kriftcher Jeannie Kriftcher Joan Kuriansky Avi Kwalwasser Jay Lang Stanley Lee Russell Miller Leslie Moskowitz Mike Moskowitz Risa Raich* Kika Schindelman Kim Schweber* Amanda Shapiro David Shapiro Tara Shapiro Greg Teitel Pam Vogel Rich Vogel Mark Winarsky Rob Yudell Sharon Yudell *Tennis Chair 21st Annual Julius B. and Edward Kuriansky Memorial Golf & Tennis Outing playFore the Kids Register online at stamfordjcc.org. For more information, contact Shannon Jacobs at 203-487-0965 or [email protected]. The Stamford Jewish Community Center is a 501(c)(3) non-profit organization