3rd Annual Indoor Golf Classic: Registration Form

Registration Form

Join us in our attempt to raise $10,000 for the Brain Injury Association of Waterloo-Wellington and Bereaved Families of Ontario. By becoming a Corporate Sponsor you will not only be helping a worthy cause, your business will be at the forefront of our fundraising campaign.
PLAYER/S: (Individual or up to Four Players)
Note: Player#1's Billing information will be used upon checkout via PayPal.
Player Number 1
First Name:   I am a GWL Member
Last Name: 
Email Address: 
Street Address:  If non-golfing guests are coming for dinner and entertainment please indicate number below.
City: 
Postal Code: 
Phone Number: 
Player Number 2
First Name:   I am a GWL Member
Last Name: 
Email Address: 
Street Address:  If non-golfing guests are coming for dinner and entertainment please indicate number below.
City: 
Postal Code: 
Phone Number: 
Player Number 3
First Name:   I am a GWL Member
Last Name: 
Email Address: 
Street Address:  If non-golfing guests are coming for dinner and entertainment please indicate number below.
City: 
Postal Code: 
Phone Number: 
Player Number 4
First Name:   I am a GWL Member
Last Name: 
Email Address: 
Street Address:  If non-golfing guests are coming for dinner and entertainment please indicate number below.
City: 
Postal Code: 
Phone Number: 
 
TEE TIMES: (please select your preferred time)
Preferred Tee Time: 
Second Choice: 
Last Resort: 

CORPORATE and INDIVIDUAL SPONSORS:
I would like to be a corporate sponsor: 
I would like to make a separate donation of: 
 

*This information will be shared only with the Brain Injury Association of Waterloo,
Golf Without Limits and Bereaved Families of Ontario.
The tournament will be held at Golf Without Limits Waterloo.