Please have your registration submitted by Wednesday, July 12th, 2017. Payment must accompany form to be registered. No refunds after August 17th.
Please fill out editable registration form below and email to firstname.lastname@example.org
If you are paying by cheque, please submit form and payment to: Brockville & District Hospital Foundation Office, 75 Charles Street, Brockville, Ontario K6V 1S8
Please note: The Friends of Palliative Care golf tournament will be photographed and/or filmed and images could be used in Friends of Palliative Care golf publications and website as well as the Brockville General Hospital and/or Foundation newsletters and websites. By participating in this event, you agree to this.