Andrew's Golf Benefit Registration

Use the form below to register for the upcoming golf benefit for epilepsy!

If you have problems registering please e-mail or call 860-346-1924 and we'll be happy to process your registration over the phone.

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Registration Information
Who's Golfing?

Individual Golfer Registration is $160 per golfer. Includes 18 holes of golf with cart, golfer gift, sleeve of balls, breakfast, lunch, and BBQ banquet after play.

Player 1

Player 2

Player 3

Player 4

Payment Information

Please review your information carefully. Once you submit your registration your information you will no be able to make any changes.

Total: $

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