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Registration Form

First Name

Last Name

Phone Number

Age

Date of Birth

Address 1your home address

Address 2apt / unit

City

State

Postal / Zip

Countrypick one!

Emaila valid email

Handicapfor pairings only

Cart Reservations

Fendrichcart ride or walk

RideWalk

Helfrichcart ride or walk

RideWalk

70+ Entrants Only

70+ Entrantstee choice

Forward TeesChampionship Tees

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Registration Fee

DonationDonate $5 to Junior Golf?

Yes ($5)No Thanks

$ [65+Field17]

Stripe Card Placeholder

Apply

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