Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration Form

Golf Tournament

Name (First and Last) *

Email *

Address *

Phone number *

Please add me to the Convos mailing list for

All mailings

Fundraising events

Newsletters and Updates

Prayer Requests

Registration types

Single Golfer

Multiple Golfers

Payment

If you are registering multiple golfers but only paying for one golfer, please have the rest of your group register as a single golfer. If you have any questions, please don't hesitate to contact Serena Li (contact info below). Payment must be completed by June 1st using one of the following options.

Payment Options *

Cheque by mail made out to Convos Youth Zone

In person at Conversations Cafe by cash, cheque, credit or debit

Drop off completed registration form with credit card information

Pay over the phone

Payment Details

Tournament Fee

$130 - Individual Golfer Fee

Quantity for Tournament

Payment Details

Dinner Fee (if you are only coming for dinner)

$50

Quantity for Dinner

Questions?

If you have any questions regarding your registration or if you have any trouble completing this online form, please contact Serena Li at convosyouth2012@gmail.com

Add 3% to my total amount to help cover the payment processing fees

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms