Golf Registration

Choose your Pay to Play Option*
- I will sponsor a foursome: $1,500 ($2,000 after April 3, 2023)
- I was invited to be part of a foursome (please indicate which foursome below).
- I will pay to play ($500)
Name of Foursome
If applicable

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone
Email*
Date of Birth*
MM slash DD slash YYYY

If under 18, parental or guardian permission is required. Please email Carla Frieders at CFrieders@LifePromotions.com to fill out a Parental/Guardian form.
Gender*
- Male
- Female