Golf Classic Registration Form

Peter Saracino Alzheimer Golf Classic: Registration Form

Please provide us with the info below so we can properly recognize your golfing party. The deadline to register as a golfer is August 26, 2025. All payments are due by September 2, 2025.
Price per ticket: CAD $250
Number of tickets
Grand Total ($)

Purchaser Information
Organization
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a preference for who you would like to be paired with?
What is your preferred tee time (we will do our best but not guaranteed!)

AMPM
E-Mail List

Yes, add me to your e-mail list so I can receive news and updates from Alzheimer Society Niagara Foundation

Attendee Information
Golfer 1
Name*

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?*
Please select your dinner option of choice*
Golfer 2
Name*

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
Please select your dinner option of choice
Golfer 3
Name*

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
Please select your dinner option of choice
Golfer 4
Name*

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
Please select your dinner option of choice

Payment Options*
You will receive an email with additional instructions based on your selection.
Payment Amount

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Peter Saracino Alzheimer Golf Classic: Registration Form