Registration Form
Please fill in the below details to book your team for our 2024 Golf Classic
Team Captain
Name
First Name
Last Name
Email
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Handicap
GUI Number
During the day, we will be taking videos and photographs. These forms of media are used by Spina Bifida Hydrocephalus Ireland for printed publications/materials, electronic publications or presentations, the SBHI website, or other SBHI social media platforms (Facebook, Twitter, Instagram, or similar). Do you give us consent to use these for promotional material or public information? within the Association for promotional material or public information.
*
Yes
No
Next Teammate
Teammate 2
Name
First Name
Last Name
Email
example@example.com
Phone Number
Handicap
GUI Number
During the day, we will be taking videos and photographs. These forms of media are used by Spina Bifida Hydrocephalus Ireland for printed publications/materials, electronic publications or presentations, the SBHI website, or other SBHI social media platforms (Facebook, Twitter, Instagram, or similar). Do you give us consent to use these for promotional material or public information? within the Association for promotional material or public information.
*
Yes
No
Next Teammate
Teammate 3
Name
First Name
Last Name
Email
example@example.com
Phone Number
Handicap
GUI Number
During the day, we will be taking videos and photographs. These forms of media are used by Spina Bifida Hydrocephalus Ireland for printed publications/materials, electronic publications or presentations, the SBHI website, or other SBHI social media platforms (Facebook, Twitter, Instagram, or similar). Do you give us consent to use these for promotional material or public information? within the Association for promotional material or public information.
*
Yes
No
Next Teammate
Teammate 4
Name
First Name
Last Name
Email
example@example.com
Phone Number
Handicap
GUI Number
During the day, we will be taking videos and photographs. These forms of media are used by Spina Bifida Hydrocephalus Ireland for printed publications/materials, electronic publications or presentations, the SBHI website, or other SBHI social media platforms (Facebook, Twitter, Instagram, or similar). Do you give us consent to use these for promotional material or public information? within the Association for promotional material or public information.
*
Yes
No
Submit
Should be Empty: