To register for the JDRF GOLF Tournament, please complete the following registration steps.
Step 1 – Select Option 1, 2 or 3 to register golfers
Step 2 – Add team name (if known - skip if using Option 3)
Step 3 – Add tax receipt information
Step 4 – Select payment option A or B

Click “register” to complete the registration process.

Option 1: I know the names of all of the Golfers I am registering

Golfers:
# First Name Last Name Requires Bus
1
2
3
4

28 seats remain available on the bus.

Option 2: I don't know the names of all of the Golfers I am registering
Filling out any of this information will override any information in Option 1.

Number of golfers I am registering

Company (Group) Name

Number of golfers requiring Bus Transportation:
28 seats remain available on the bus.
Option 3: I want to register and join a team I have been invited to
Filling out any of this information will override any information in Option 1 and 2.
# First Name Last Name Requires Bus
1
2
3
Company (Group) Name

Number of golfers requiring Bus Transportation:
28 seats remain available on the bus.
Team Name Information
Team Name
Team Captain
Captain Phone Number
Captain Email Address
Tax Receipt Information
Tax Receipts will be sent from JDRF National Office later in the year.
Issue Tax Receipt To
Address
City
Province
Postal Code
Option A: I wish to pay now with a Credit Card
Amount to be Charged
Credit Card Type
Name on Card
Card Number
Expiry Date
Option B: I wish to pay later by Cheque
Check to confirm you will pay by cheque
Your cheque should be in the amount of $ and made payable to Juvenile Diabetes Golf.
Please mail cheque to:
Jeff Stepan
3228 Angus Street
Regina SK S4S 1P7

Problems with this form? Email webmaster@jdrfgolf.com

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