GolfRegistration

Challengers Independent Living

2016 Golf Registration

All fees are due in full at time of registration. Cost per golfer - $65.00

Select registration type

Individual Team

Team captain Information

First Name

Last Name

Address

City

State

Zip Code

Cell Phone

Work Phone

Email

Team members information

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

Cost of the “All White Affair” is already included with registration

I will also be attending the “All White Affair” after the Golf Event from 8-11 p.m. in the Clubhouse.

Yes No

My team will also be attending the “All White Affair” after the Golf Event from 8-11 p.m. in the Clubhouse.

Yes No

Comments

Where is Challengers located?