Golf Registration | Life Promotions

Choose your Pay to Play Option*

I will sponsor a foursome: $1,500 ($2,000 after April 1, 2024)
I was invited to be part of a foursome (please indicate which foursome below).
I will pay to play ($500)

Name of Foursome

If applicable

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone

Email*

Date of Birth*

If under 18, parental or guardian permission is required. Please email Carla Frieders at CFrieders@LifePromotions.com to fill out a Parental/Guardian form.

Gender*

Male
Female

Do you have a Facebook account?

Yes
No

Does your employer/company have a fund matching program?

Yes
No

Shirt Size

Emergency Contact Name

First Last

Emergency Contact Phone*

Emergency Contact Relationship*

Liability Waiver

I know there is an element of risk in playing golf. I assume all risks and danger of personal injury and any hazards in any way related to the golf outing including, but not limited to: danger from golf balls, golf clubs, carts, course hazards or actions of other participants and non-participants. I certify that I am fit for the challenge of the golf outing. I hereby release and will not hold the host organization, Life Promotions, Inc., the management and owners of the host course, North Shore Golf Club, and their respective officers and employees liable from any and all liability, actions, debts, and claims resulting from the golf event or causes listed above. By clicking the "Submit Registration" button I indicate my acceptance of this waiver. Participant's Signature: