Team Registration Form
Thank you for signing up for the Dereck Whittenburg Foundation Grandover Resort Golf Tournament!. Please complete the information for your team's three players. This information about your team will help us have everything prepared for your arrival on September 28th.
Sponsor's Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Team's Information
Player 1 (generally yourself)
First Name
Last Name
Email
example@example.com
Shirt Size
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Player 2
First Name
Last Name
Email
example@example.com
Shirt Size
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Player 3
First Name
Last Name
Email
example@example.com
Shirt Size
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Sponsorship Payment
How will you be paying?
Please Select
Mailing a check
Paying online
Already paid online
To pay online, go to https://checkout.square.site/merchant/VAVQYR4MDNRYH/checkout/MBYJUILQDHVTNS64XOXPOPIG. To pay by check, mail to: The Dereck Whittenburg Foundation, 8311-105443 Brier Creek Pkwy, Raleigh, NC 27617.
Submit
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