*

Tee Off Preference (waiting list may apply)*
   
Confirmation of draw to follow


Player 1
*
*
*
*
*
*
*
Shirt Size*
                     
Registration Amount*
   

 
Player 2
*
*
*
*
*
*
*
Shirt Size*
                     
Registration Amount*
   

 
Player 3
*
*
*
*
*
*
*
Shirt Size*
                     
Registration Amount*
   

 
Player 4
*
*
*
*
*
*
*
Shirt Size*
                     
Registration Amount*
   

 
Additional Players
*

Press submit to proceed to Payment.
Payment is a necessary step in finalizing your registration for FPC 2019.


 
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.