Golf Shamble Registration - Habitat for Humanity of Madison and Clark Counties

Please choose one: *

I already have a team but would like to register and pay individually.
I already have a team and would like to register and pay for my entire team.
I am an individual and would like to be placed on a team.

Your Name *

First

Last

Your Handicap

Your Address *

Address Line 1

Address Line 2

City

State

Zip Code

Your Phone *

Your Email *

Please list your team name, team captain, OR teammates so you will be placed in the correct group.

If there is another individual registering separately who you would like to be teamed up with, please list his or her name below.

Name of Player Two

First

Last

Address of Player Two

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number of Player Two

Email of Player Two

Handicap of Player Two

Name of Player Three

First

Last

Address of Player Three

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number of Player Three

Email of Player Three

Handicap of Player Three

Name of Player Four

First

Last

Address of Player Four

Address Line 1

Address Line 2

City

State

Zip Code

Phone of Player Four

Email of Player Four

Handicap of Player Four

Use the space below for additional comments, if needed.

Captcha *

What is 7+4?

Once you submit your registraion, you will be redirected to an online payment page. Your Registration is not complete without payment. *

Got it!

HFHMCC Administrative Office