Sponsor / Golfer Registration

2023 Golf Classic Registration

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Your Full Name*
My payment for registration will be in the form of:*
If you are making payment by mailing in a check, please send it to the following address and write "2023 Golf Classic" in the Memo section. Adaptive Sports Connection ATTN: Sharon Bucey, 6000 Harriott Drive, Powell, Ohio 43065

Contact Information

Contact person if different from above

Team Golfer Information

Please fill out information for each golfer if applicable.
Golfer 1
Golfer 2
Golfer 3
Golfer 4
This field is for validation purposes and should be left unchanged.

6:00 - 9:00 pm with live entertainment

6:00 - 9:00 pm with live entertainment