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, 2024. All payments are due by September 3, 2024.
Price per ticket:
CAD $265
Price per Dinner-Only ticket:
CAD $65
(includes buffet-style dinner)
Number of tickets
Please Select
1
2
3
4
Number of Dinner-Only tickets
Please Select
1
2
3
4
Regular Total
Payment Options
*
Please Select
Cheque
E-transfer
Credit Card through PayPal (Online)
Credit Card over the phone (Offline)
You will receive an email with additional instructions based on your selection.
Payment Total
prev
next
( X )
CAD
You will be directed to PayPal to process your payment after submitting this form
Back
Next
Purchaser Information
Organization
Name
*
First Name
Last Name
Email
*
example@example.com
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
Back
Next
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?
*
Submit
Should be Empty: