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Form ChoicesPlease choose if you would like to fill out the Sponsor, Team Registration, or both in this form submission.

Sponsorship

Sponsorship Level *

Team Registration

1-4 Golfers per Team - $100 per golfer registration fee. Click Add Golfer or Remove Golfer to change the amount of team members.
Cost
$

Breakthrough House Inc.

403 NW Lyman Rd. Suite A Topeka, KS 66608
(785) 232-6807

Payee Department Hours
Monday through Friday 9 am to 12 PM and 1 pm to 4 pm

The Lotus House – Topeka

1201 SW Van Buren Street Topeka, KS 66612
(785) 232-6960
Mkemper@breakthroughhouse.org

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