Women's Athletics Golf Outing Registration

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Name *

Email address *

Phone *

Address *

City *

Zip *

Are you part of a foursome *

Yes No

Team Member #1

Team Member #2

Team Member #3

If are not part of a foursome, but wish to golf with someone in particular, please list their name(s) below. We will try to accomodate requests if possible.

Payment *

Foursome ($240) Single ($60) Dinner Only ($20)

For a foursome, there will be a $5.00 convenience fee to submit this online form.

For a single, there will be a $2.00 convenience fee to submit this online form.

* required field