Event Registration _Augusta

Thank you for supporting SCHB Self Insurers Fund!

You and your family are invited to our Agency Appreciation Night on Wednesday, June 30, 2021. Watch the Augusta Greenjackets take on the Columbia Fireflies. The park is home to the GreenJackets, a Class A affiliate of the San Francisco Giants.

There are seven easily accessible parking lots around the ballpark along with a free shuttle for fans. In the event of inclement weather, the event will be the same at the Picnic Patio, Top Tier.

Please RSVP by Friday, June 25, 2021, and complete this form to register for the event. Include your name, email address, phone number, and the name of your agency, plus additional individuals from your agency that will be attending (up to five individuals including yourself). We look forward to seeing you!

Name*
First Last
Email*
Phone*
Company Name*
How many people are you registering (including yourself)*
Participant #2
First Last
Participant #3
First Last
Participant #4
First Last
Participant #5
First Last
Photography will be taken during the event. Do we have everyone's permission to use their images in promotion materials?*
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.