Event Registration Form

 

 

As the coordinator for this event, I have read and fully understand the above policies.

 I will take responsibility for my party in the event these policies are violated.

 

Signature: ____________________________               Date: _____________

 

I agree to notify Elm Creek at least 48 hours in advance with final numbers for my group.  I understand that my

 group will be charged for the minimum number of players I have confirmed. _________ (initials)

 

I understand the beverage policy at Elm Creek and agree to notify all players in my group of this policy. 

I will take responsibility for my party in the event this policy is violated. _________ (initials)

 

 

REGISTRATION

 

Event Name: ________________________________________________

 

Number of Players: __________    Date Requested: ___________________            

 

First Tee Time: __________            Shotgun Start Time: ________________

 

Contact Information:

 

Contact Person: ___________________________        Email: ____________________

 

Address: ________________________   City: _______________ Zip Code: _________

 

Daytime Phone: ___________________               Alternate Phone: __________________

 

Payment Information:

 

Deposit Enclosed:     Check _____                CC ______

 

Name on Card: _______________________________

 

CC Number: ___________________________ Exp Date: _______ CID #: _______