women's wednesday afternoon league

First Name

Last Name

Address

Address 2

City

Zip/Postal Code

Email Address*

Phone*

Please register me in the Women's Wednesday Afternoon League*

YES

I am a Member of Picton Golf & Country Club*

YES

PLEASE NOTE: Non-Members must complete all requested contact information in the above section

I have a team. (PLEASE NOTE: ALL TEAM PLAYERS MUST REGISTER INDIVIDUALLY.)*

YES

For cross reference, please supply names of the players on your team. If you have less than 4 players, other players may be added.

Please supply the name of your Team Captain and Team Name (if applicable)

Please put me on a team!

YES

League Fee

$30.00 Quantity

Payment Type

Total

Enter the code displayed*

Picton Golf & Country Club

734 County Rd #49, Box 6170 Picton, ON K0K 2T0

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