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 25, 2026. All payments are due by September 1, 2026.
Price per ticket: CAD $250
Number of tickets
Grand Total ($)

Purchaser Information
Organization
Name

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
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?
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What is your preferred tee time (we will do our best but not guaranteed!)

Attendee Information
Golfer 1
Name

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
Golfer 2
Name

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
Golfer 3
Name

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?
Golfer 4
Name

First NameLast Name
Organization
Email
example@example.com
Do you require special services for mobility challenges or dietary requirements?

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

prevnext( X )
CADFinal amount to be charged

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Peter Saracino Alzheimer Golf Classic: Registration Form