Golf Classic Player Registration

Golf Player/Team Registration

Use this form to register a team or as an individual player for this year's Garret "Gary" E. Cole Golf Classic hosted by the Maine Parkinson Society.

Contact Name(Required)

First Last

Company/Organization

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone

Registration Type(Required)

Individual

Team of 4

Total

Payment Preference(Required)

Invoice to Individual/Company

Check, Payable to Maine Parkinson Society

Credit Card, Please call our office at 207-992-9978

PayPal

TEAM NAME

Captain / Individual

Captain / Individual Address(Required)

Street Address Address Line 2 City State ZIP Code

Captain / Individual Email(Required)

Captain / Individual Phone

Team Captain Handicap

Team Member 2

First Last

Team Member 2 Address

Street Address Address Line 2 City State ZIP Code

Team Member 2 Email

Team Member 2 Phone

Team Member 2 Handicap

Team Member 3

First Last

Team Member 3 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Member 3 Email

Team Member 3 Phone

Team Member 3 Handicap

Team Member 4

First Last

Team Member 4 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Member 4 Email

Team Member 4 Phone

Team Member 4 Handicap