REGISTRATION FORM

Please complete the required fields below and click the "Submit Form" button below. You will be directed to a page where you can submit the $185 non-refundable deposit.

Please note that your registration will not be concidered complete and your slot in this limited field will not be held until your payment has been verified to us from PayPal.

Please feel free to contact us with any questions.

Date :

REQUIRED FIELD -FORMAT YYYY-MM-DD)
First Name:

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Last Name:

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Address:

OPTIONAL
Apt/Suite:

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City:

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State:

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Zip Code:

OPTIONAL
Cell Phone:

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Email Address:

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Handicap:

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Handicap Verification (course name):

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Age:

REQUIRED FIELD- PLEASE ENTER YOUR AGE AS OF 7/7/2018. IT WILL BE USED TO DETERMINE WHICH TEES YOU PLAY
Captain's Challenge:

REQUIRED FIELD- PLEASE CHECK THIS BOX IF YOU ARE INTERESTED IN PARTICIPATING IN THE CAPTAIN'S CHALLEGE. AN ADDITIONAL FEE OF $10 APPLIES.