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Golf Fore the Cure Participant Registration Form
*
Indicates required field
Event Information
*
Please select which event you would like to register for:
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Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
*
Event:
Salt Spring Golf & Country Club - July 31st, 2012
Falcon Lake Golf Course - June 2, 2012
Salmon Arm Golf Club - July 26, 2012
Belvedere Golf Club - Friday, June 8th , 2012
Old Mill Pond Golf and CC - July 25, 2012
Larters at St. Andrews Golf & Country Club - May 22, 2012
Shelter Valley Pines Golf Club - July 14, 2012
Garrison Golf & Curling Club - June 26, 2012
Kenogamisis Golf Club - August 15, 2012
Hollinger Golf Club - Saturday, June 16, 2012
club de golf de valcourt - 14 juillet 2012
Alberta Springs Golf & Country Club - July 19, 2012
Ashbrook Golf Course - July 28, 2012
Muskoka Highlands Golf Links - Wednesday July 11, 2012
Bashaw Golf & Country Club - June 9, 2012
Birtle Riverside Golf Club - July 16, 2012
Stanhope Golf & Country Club - June 7,2012
Hillsborough Golf Course - June 13, 2012
Pheasant Glen Golf Club - May 29, 2012
Candle Lake Golf Resort - August 25, 2012
Leduc Golf and Country Club - June 20, 2012
Eagles Glenn Golf Course - June 14, 2012
Little Falls Golf Course - July 25, 2012
Clyde River Golf and Country Club - June 13, 2012
Belfast Highland Greens - July 25, 2012
Rustico Resort Golf & Tennis Club - June 15, 2012
Maple City Country Club - July 31, 2012
Wellington on the Lake Golf Course - July 28, 2012
Highland Pacific Golf - June 18, 2012
Glen Afton Golf Club - Saturday, June 9, 2012
WAINWRIGHT GOLF & COUNTRY CLUB - JULY 18 2012
Pasquia Golf Club - July 10, 2012
Olympic View Golf Club - July 10 2012
Legacy Ridge Golf Club - August 14, 2012
Avondale Golf Course - June 12, 2012
Southside Golf Course - Monday, July 9, 2012
Rideau Lakes Golf & Country Club - July 18, 2012
Riverbend Golf Club - August 12, 2012
The Fairmont Jasper Park Lodge - Saturday, July 7, 2012
Nk'Mip Canyon Desert Golf - July 26, 2012
Truro Golf Club - August 24, 2012
Creston Golf Club - May 8, 2012
Listowel Golf Club - August 14, 2012
Nakusp Cenntennial Golf Course - September 11, 2012
Viva Las Vegas - Celine Dion Contest - October 12, 2012
Summerside Golf Club - June 6th
Hardisty Lakeview Golf Association - August 21, 2012
Montgomery Glen Golf and Country Club - June 8, 2012
Blue Heron Golf Club - August 16, 2012
Whitetail Golf Club - July 11, 2012
Club de Golf Baie Missisquoi - le 4 juillet 2012
Countryview Golf Club - June 12, 2012
Renfrew Golf Course - July 7th, 2012
Pipestone Hills Golf Club (Moosomin Golf Course) - July 14,2012
Cedar Glen Golf Course - August 1, 2012
Cardiff Golf and Country Club - July 14, 2012
Ironwood Golf Club - July 9th 2012
Covered Bridge Golf & Country Club - August 6, 2012
Stone Tree Golf & Fitness Club - Wednesday July 11th, 2012
Pincher Creek Golf Club - July 9, 2012
Nineteenth Hole - February 23, 2012
Nineteenth Hole - Month of February
Greenhills Golf Club - July 24, 2012
Club de golf de Chambly, Le Carignan - 4 juillet 2012
RedTail Landing Golf Club - July 31, 2012
Fernie Golf & Country Club - July 17, 2012
Participant Information
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First Name:
*
Last Name:
Gender
Male
Female
Age
Under 24
25-34
35-44
45-54
55-64
65 and over
*
Address:
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City:
*
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
*
Postal Code:
*
Home Phone:
Business Phone:
*
Email Address
Signing up to play with another participant(s)?
Yes
No
Please list the names of the other participants you wish to play with below and have the others complete the application form as well.
1.
2.
3.
General Information
1. How did you hear about Golf Fore the Cure?
Participated last year
From your golf course
From your provincial golf association
Surfing the internet
Through a friend
Other - please specify
2. Would you like to receive e-Golf Canada? (The official e-newsletter of Golf Canada)
Yes
No
3. Are you a Golf Canada member?
Yes
No
4. How many years have you participated in Golf Fore the Cure?
1st year
2-4 years
5 or more years
5. Indicate your golf skill level:
Beginner
Intermediate
Advanced
6. Would you like to enter the Viva Las Vegas presented by Subaru contest? I confirm that I have read the
Contest Rules
.
Yes
No
7. I understand that all personal information I provide is protected under the
Golf Canada privacy policy
*
8. I confirm that I have read and agree to the items listed in the
participant terms and conditions
.
*
I Accept
Payment Information
Please Note:
By completing this registration form you have not committed to any payment (should there be any) for the event you have selected. Once you have submitted this form, an automatic email will notify the Site Coordinator of the specific event you have registered for. At that time, the Site Coordinator will then follow up with you directly regarding any registration fees and event specifics.
Questions or Comments?
Please contact the Golf Fore the Cure coordinator at
gftc@golfcanada.ca
or 1-800-263-0009 x 495
Conducted By
In Support Of