Golf Registration
Select number of tickets:
Regular Golfer $225 CAD
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Purchaser Information
Organization
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / 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!)
*
AM
PM
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 Name
Last Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
*
Golfer 2
Name
*
First Name
Last Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
*
Golfer 3
Name
*
First Name
Last Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
*
Golfer 4
Name
*
First Name
Last Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
*
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