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Golfer Registration

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Download Golfer Registration Form

Please submit this form to LeAndra Childs at [email protected], or mail it to 225 Cordova Street, Anchorage AK, 99501.

Questions? Call LeAndra at (907) 297-7789.
ONLINE REGISTRATION
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Parish (if applicable) Please enter valid data.
- Food allergies or dietary restrictions
- TEAM REGISTRATION
  
  Team Name (if applicable) Please enter valid data.
  
  Number of Golfers REQUIRED Please fill out this field.
  
  Golfer #1 (SELF) REQUIRED Please fill out this field. Please enter valid data.
  
  Golfer #2 Please enter valid data.
  
  Golfer #3 Please enter valid data.
  
  Golfer #4 Please enter valid data.
  
  Golfer #1 (SELF) - Active Military? REQUIRED Please fill out this field.
  
  Golfer #2 (if applicable) - Active Military?
  
  Golfer #3 (IF APPLICABLE) - Active Military?
  
  Golfer #4 (IF APPLICABLE) - Active Military?
- Divine Intervention Options
  
  Divine Intervention Packages includes:
  
  Mulligan: an extra shot (package includes 2).
  
  Drop a Ball: at any one hole, skip the first drive and
  
  drop the ball at the 200 yard mark.
  
  Holy Hand Grenade: Throw/toss your ball to improve your lie. One toss per grenade.
  
  String: a three-foot putt extender. Each time you use it, your string gets a little shorter.
  
  How many packages would YOU like to buy?
  
  Holy Hand Grenades ($10/each) Quantity: $ Please enter a positive decimal.
  
  String ($10 for three feet) quantity: $ Please enter a positive decimal.
- Registration Fees
  
  I'm paying for... REQUIRED Please fill out this field.
  
  My Team’s Registration Subtotal: $ Please enter a positive decimal.
- Payment Method REQUIRED Please fill out this field.
Total:

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