Registration Form

Chip-in for Charity

Please complete the form below and click 'Submit' when you are done.


Before applying, please review the requirements below to ensure program eligibility.

Eligible organizations include the following:

  • Nonprofit organizations with 501(c)(3) tax-exempt status
  • Government entities (law enforcement or fire departments) with a funding request to serve the public
  • Educational institutions (K-12 public, private, charter schools, and colleges and universities)
To be considered for funding, an organization must:
  • Operate and serve citizens in at least one of the following Northeast Florida counties - Baker, Clay, Duval, Nassau, and/or St. Johns
  • Practice and provide services without discrimination as protected by law

IMPORTANT NOTES:

  • Please complete the form and upload all required documents. Failure to do so may result in the application being declined.
  • You will not be able to save or submit a partial entry, so pleasure be prepared to complete the application in its entirety before submitting.
  • Please ensure that your organization can accept electronic payments (ACH transfer/direct deposit) as any funds dispersed by the PGA TOUR will be sent electronically.

Contact Information


Organization Information


Please select all that apply

Baker
Clay
Duval
St. Johns
Nassau
Please select all that apply

Youth Services
Education
Health, Wellness & Sports
Character Development
Military Support
Other

Required Documents


Reminder: Your organization must have bank information on file to receive funds. Even if you have submitted bank information for other programs in previous years, please submit it again, so we can ensure we have the most recent information on file.

Please Upload:
  • IRS Determination Letter (Click here to see a sample IRS Determination Letter.The tax exemption form will not be accepted.)
  • Completed and signed 2025 W-9 (Click here to download a blank W-9.)
  • Complete and signed 2025, 2024, or 2023 990 (first page only)
  • Completed bank form (Click here to download the form an electronic or manual signature required.)
  • Either a voided check OR the bank information on letterhead (only one is required)

    • To upload a file, click Choose File, select a file from you computer, click Open, wait for file name to appear in line below, then select Upload File. The file name should then appear in the Uploaded Files list below. Repeat until all required documents are uploaded.

    ***If you want to register individual teams, please provide a document containing the team name, contact name and contact email address for each team or group and upload it with this registration. Word, Excel and PDF formats are acceptable.




    By registering for the Chip-in for Charity program, your organization agrees to receive communications from the tournament team related to your participation. These communications are essential to the administration and success of the program and include, but are not limited to:

    • Weekly updates on fundraising totals
    • Program announcements and updates
    • Important deadlines and logistical information

    Participation in Chip-in for Charity requires acceptance of these communications. By completing registration, your organization acknowledges and agrees to this requirement.


    (*) indicates required field
    Status:
    Date of Decision: