Captain's Charity registration form
Please complete the below to receive your fundraising kit.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact number
*
-
Phone Number
Golf Club
*
Golf Club address (your kit will be sent here)
*
Street Address
Street Address Line 2
City
County
Post Code
Your position
*
Club Captain
Men's Captain
Ladies' Captain
Senior Captain
When does your year start
*
-
Month
-
Day
Year
Date
How much do you expect to raise
*
Please tick to confirm the following:
*
The information I have provided is accurate and truthful
I agree to provide progress on my fundraising
Will deposit the funds raised into the England Golf Trust bank account
Happy for England Golf Trust to keep in touch
Please sign below to confirm
Date
-
Month
-
Day
Year
Date
Please reach out and read our Privacy Policy in order to understand
how your information is used.
Submit
Submit
Should be Empty: