GOLF TOURNAMENT REGISTRATION – First Baptist Church of Highland Park

Golfer #1 *

First

Last

Layout

Golfer #1 Email *

Street Address *

State *

Company or Organization

Golfer #1 Phone Number (with area code) *

City *

Zip Code *

Handicap/Index *

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship *

Additional Comments

Golfer #2

First

Last

Layout G2

Golfer #2 Email

Golfer #2 Handicap/Index

Golfer #2 Phone Number (with area code)

Golf #2 Emergency Contact Information

Emergency Contact Name Golfer #2

Emergency Contact Number Golfer #2

Emergency Contact Relationship Golfer #2

Golfer #3

First

Last

Layout G3

Golfer #3 Email

Golfer #3 Handicap/Index

Golfer #3 Phone Number (with area code)

Golf #3 Emergency Contact Information

Emergency Contact Name Golfer #3

Emergency Contact Number Golfer #3

Emergency Contact Relationship Golfer #3

Golfer #4

First

Last

Layout G4

Golfer #4 Email

Golfer #4 Handicap/Index

Golfer #4 Phone Number

Golf #4 Emergency Contact Information

Emergency Contact Name Golfer #4

Emergency Contact Number Golfer #4

Emergency Contact Relationship Golfer #4

Select the Total Number of Golfers You're Registering *

1 Golfer - $ 165.00
2 Golfers - $ 330.00
3 Golfers - $ 495.00
Foursome - $ 660.00

The price listed represents the total cost for that number of golfers.

Total

$ 0.00

Payment *

Card Number

Expiration Date

Security Code

Card Holder Name

Comment or Message

19th Annual Golf Tournament - Sept 17th at Lake Presidential Golf Course.

19^th Annual Golf Tournament - Sept 17th at Lake Presidential Golf Course.