Friendship Cup for Deaf Children

Space is limited and past players have right of choice up until May 30th. Payment is due by July 1st.

* First Name:
* Last Name:
Address:
Suite/Apt. # :
City:
State:
Zip Code:
* Phone No.:
* Email Address:

	I would like to register as a: Team (max. 4 players) Individual
TEAM SIGNUP
If you do not have a team of 4 players, we will pair you with additional players before the day of the event. Team of 4 Registration Fee - $600.00
Team Name:
I would like to play with the following individuals:
Player 1 : Handicap:
Player 2 : Handicap:
Player 3 : Handicap:
Player 4 : Handicap:
INDIVIDUAL SIGNUP
If you register as an individual, we will pair you with other players before the day of the event. Individual Registration Fee - $150.00
Name : Handicap:
PAYMENT
CREDIT CARD Once you submit this form, we will give you a phone # to call in your credit card. Your credit card charge will be made to the Easter Seals office. CHECK You can also mail in a check. Please make check/money order payable to: The Friendship Cup for Deaf Children