The Dr. Jay Charitable Foundation - providing Pediatric Palliative Care funding and support, helping families face terminal illness with dignity and determination.

Dr. Jay Golf Classic - Golfer Registration

Register below for The 13th Annual Dr. Jay Golf Classic which takes place at Lionhead Golf and Country Club on Monday, June 16, 2008. For more information, please see our schedule for the day.

If you prefer to register by fax or mail, please download the form.

Interested in becoming an event sponsor? Please review our sponsorship opportunities.

All fields are required

Have you golfed with us before?

Company Name

Contact Name

First

Last

Telephone

1234567890

Address

City		Province

Postal Code	A1A1A1

How did you hear about us?

I would like to receive information from The Dr. Jay Charitable Foundation in the future?

Team Information

Team Name optional

Golfers to pay for (select number of golfers):

Please only include information below for golfers that are being paid for in this registration.

	Name	Gender	Shirt Size	Shoe Size	Swing
1
2
3
4

Comments

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Golf Classic

Register for The 13th Annual Dr. Jay Golf Classic which takes place at Lionhead Golf and Country Club on Monday, June 16, 2008.

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