Registration

Golf Fees

$200 per golfer

**NEW LOCATION**
Rebel Creek Golf Club
1517 Snyder’s Road E., Petersburg, ON N0B 2H0

Includes 18 holes of golf with power cart, lunch and dinner

Download this form if you would like to register by mail or at KW Habilitation.

Name
First Last
Email
Address
Street Address Address Line 2 City Province Postal Code
Phone
Number of Golfers
Do you have other golfers you'll be playing with?

Please provide the names of other people in your foursome, so we can match you up.
Tax Receipts
- One receipt for total golfers for the eligible amount
- Each golfer receives their own receipt for the eligible amount
Golf Registration
Price: $ 150.00 CAD
Golfer Name:
Golfer 1 Email
Golfer 1 Address
Street Address Address Line 2 City Province Postal Code
Golfer 1 Phone
Golfer 2
Golfer 2:
Golfer 2 Email
Golfer 2 Address
Street Address Address Line 2 City Province Postal Code
Golfer 2 Phone
Golfer 3
Golfer 3:
Golfer 3 Email
Golfer 3 Address
Street Address Address Line 2 City Province Postal Code
Golfer 3 Phone
Golfer 4
Golfer 4:
Golfer 4 Email
Golfer 4 Address
Street Address Address Line 2 City Province Postal Code
Golfer 4 Phone
Total
$ 0.00 CAD
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
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