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Golf Classic Registration Form
To register for the Golf Classic, please complete the form below.
Please Register by Wednesday, May 28th.
Golfer First Name:
Golfer Last Name:
Address:
Address (cont):
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New England
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Phone:
(with Area Code)
Email:
Company:
Foursome Coordinator:
Golfing in honor of:
Sponsor/Golfer Choice:
Golfer
Corporate Sponsor
DS Individual
Volunteer
DS Individual Attending Golf for Life Clinic
Registration Type:
$175 Individual Golfer
$325 Two Golfers
$500 Three Golfers
$600 Foursome
I will form a Foursome
I am part of a Foursome
I want to join a Foursome
$
I wish to make a donation to DSA, Down Syndrome Alabama for amount specified
Total:
$
Credit card type:
Visa
Mastercard
Discover
American Express
Credit card number:
Credit Card Expiration Date:
January
February
March
April
May
June
July
August
September
October
November
December
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Exact name on card:
Golf Classic Participants
by clicking on "I Agree," you agree, warrant and covenant as follows: Waiver: In consideration of me and/or my minor child being permitted to participate in the Golf Classic, I hereby-for myself, my heirs and personal representatives assume any and all risks which might be associated with the event. I further waive, release, discharge and covenant not to sue Down Syndrome Alabama and Inverness Country Club, their sponsors, organizers, volunteers or other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child as a result of taking part in the events and any related activities. I also authorize the use by Down Syndrome Alabama of any photo, film or videotape taken of me or my minor child at the event for any purpose.