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Golf Fore the Cure Site Application Form

Fill out the information below to get started!
* Indicates required field

Event Coordinator Information

*First Name:

*Last Name:

Gender:

Age:

*Home Address:

*City:

*Province:

*Postal Code:

*Home Phone:

Business Phone:

Cell Phone:

*Email:

*Will you be organizing this event with a committee helping you?

If yes, how many others are on the committee? Please provide a brief description below:

Secondary Contact

(In the case that the primary contact cannot be reached during an urgent situation, the secondary contact will be contacted)

Committee Member Name:

Email Address:

Phone Number:

Host Club / Facility Information

*Host Golf Course/Facility:

*Address:

*City:

*Province:

*Postal Code:

*Phone Number:

Website:

*Is this a private or public golf course/facility?

*Is your event open to the public or is it a private event?

Please provide the Food & Beverage Manager’s name and contact information below. If the facility does not have a Food & Beverage Manager, please provide contact information for whoever will be responsible for arranging food and beverages on the day of your event.

*Food & Beverage Manager’s Name:

*Phone Number:

*Email:

Shipping Information

Golf Canada will ship an event kit to you 3 to 4 weeks prior to your event date. Please note that kits cannot be shipped to PO Box addresses.

The golf course/facility’s address is NOT a PO Box address. Please ship my event kit to the address provided in the host club/facility section above.
The golf course/ facility’s address IS a PO Box address. Please ship my event kit to the address below instead.

Please provide the email address of the General Manager or Head Professional at your club so that you will both be notified when any packages have been shipped to your attention/ the Host Club.

General Manager or Head Professional’s Name:

Email:

*Language Preference: Please indicate what language you would like to have your event kit material (including signs, instructions etc…) sent to you in:

French
English

Event Information

Event 1

Remove Event

*Date of the Event (Example: July 7, 2011):

*Number of Participants: (Note: a minimum of 16 women is required for all events)

Will any men be participating in your event? If yes, approximately how many do you expect?

(If at the time of registration you do not have an exact number of expected participants, please provide the most accurate estimated number possible and contact the Golf Fore the Cure Coordinator at gftc@golfcanada.ca or 1-800-263-0009 x 495 should the number need to change.)

*Please choose one:

Yes, please post my event date, location and contact email on www.golfcanada.ca/golfforethecure.
No thank you, I would prefer not to have my event date, location and contact email posted.

If you will be hosting more than one event at the facility entered above, please click the Add Another Event button below:

*Would you like the individuals participating in your event(s) to have the ability to register online for your event(s)? (Recommended by Golf Canada)

Yes
No

General Information

1) How did you hear about Golf Fore the Cure?

Participated last year
Golf Canada’s Website
Golf Canada Mailing
Email from Golf Canada
Through a friend
From your Provincial Golf Association
Other
If Other, please specify:

2) Have you received your 2011 Golf Fore the Cure Planning Guide?

3) Would you like to receive e-Golf Canada? (the official e-newsletter of Golf Canada)

4) Are you a Golf Canada Member?

5) I understand that all personal information I provide is protected under the Golf Canada privacy policy.

* 6) a) I confirm that my event will meet the required criteria as outlined in the Site Eligibility Criteria.

b) I confirm that I have read and agree to the items listed in the Terms and Conditions.

I Agree