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*	Last name: Required
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	Street 2
*	City: Required
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*	Phone number (10-digit number): Required
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Set up your account
Setting up an account allows you to control the way we contact you. You will be able to change your preferences at any time.

Please enter a username and password that you can use when you return. We suggest using your e-mail address as your username. You can use this password to update your information or receive personalized content.

*	Username Required	5 to 60 characters
*	Password Required	12 to 99 characters
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Please provide sizing for your adidas coordinator uniform. Click here to view the adidas’ sizing chart:

*

Question - Required - Top (polo):

*

Question - Required - Bottom (skort):

*

Question - Required - Do you also want to fundraise online as a participant for your event?

*

Question - Required - Would you like to manage your event online?

*

Question - Required - Where would you like your funds raised at your event to be allocated towards?

Secondary Contact

(In the case that the primary contact cannot be reached during an urgent situation, the secondary contact will be contacted)

Question - Not Required - Committee member name:

Question - Not Required - Email address:

Question - Not Required - Phone number:

Host club / Facility information

*

Question - Required - Host golf course/facility:

*

Question - Required - Address, city, postal code:

(Maximum of 255 characters or about 5 rows of text)

*

Question - Required - Province:

*

Question - Required - Phone number:

Question - Not Required - Website:

*

Question - Required - Is this a private or public golf course/facility?

*

Question - Required - Is this a Golf Canada Member Club?

*

Question - Required - Is your event open to the public or is it a private event?

*

Question - Required - What is the format of your event?

*

Question - Required - Would you like to be contacted by a local Subaru Canada representative to discuss how they can help enhance your event?

Shipping Information

Please note: Golf Canada will ship an event kit to you 2-3 weeks prior to your event date. If you would like to request immediate shipping, please email gftc@golfcanada.ca

*

Question - Required - Where would you like your event kit shipped to:

Please note that kits cannot be shipped to PO BOX addresses.

The address provided MUST have an individual available during regular business hours (9:am-5:pm) to receive the delivery (Ex. Office addresses).

Question - Not Required - Please provide full mailing address:

(Maximum of 255 characters or about 5 rows of text)

Please provide the email address of the General Manager or Head Professional at your club so that you will both be notified when any packages have been shipped to your attention/ the Host Club.

Question - Not Required - General Manager or Head Professional's Name:

Question - Not Required - Email

*

Question - Required - Please indicate what language you would like to have your event kit material sent to you in:

Event Information

*

Question - Required - Date of the event:

Month

Day

Year

*

Question - Required - Number of Participants: (Note: a minimum of 20 women is preferred)

(If at the time of registration you do not have an exact number of expected participants, please provide the most accurate estimated number possible and contact the Golf Fore the Cure Coordinator at gftc@golfcanada.ca or 1-800-263-0009 x 495 should the number need to change.)

Question - Not Required - Will any men be participating in your event? If yes, approximately how many do you expect?

*

Question - Required - Please choose one:

Yes, please post my event date, location and contact email on www.golfcanada.ca/golfforethecure.

No thank you, I would prefer not to have my event date, location and contact email posted.

*

Question - Required - Would you like the individuals participating in your event(s) to have the ability to register online for your event(s)? (Recommended by Golf Canada - receive automatic tax receipts)

*

Question - Required - Would you like to add a 2nd event (please note you can do so at a later date by signing back in on the Golf Fore the Cure website):

Question - Not Required - Will it be at the same Golf club?

Question - Not Required - Host golf course/facility:

Question - Not Required - Address, city, postal code:

(Maximum of 255 characters or about 5 rows of text)

Question - Not Required - Province:

Question - Not Required - Phone Number:

Question - Not Required - Website:

Question - Not Required - Is this a private, or public golf course/facility?

Question - Not Required - Date of the 2nd Event?

Month

Day

Year

Question - Not Required - Number of Participants (Note: a minimum of 20 women is preferred):

Question - Not Required - Will any men be participating in your event? If yes, approximately how many do you expect?

Question - Not Required - Referrals: Please provide any names & emails (or phone numbers) of individuals that you think would be interested in hosting an event

(Maximum of 255 characters or about 5 rows of text)

General Information

*

Question - Required - How did you hear about Golf Fore the Cure?

Question - Not Required - Would you like to receive the Golf Fore the Cure Planning Guide?

Question - Not Required - Would you like to receive e-Golf Canada? (the official e-newsletter of Golf Canada)

Question - Not Required - Are you a Golf Canada Member?

I understand that all personal information I provide is protected under the Golf Canada privacy policy.

I confirm that my event will meet the required criteria as outlined in the Site Eligibility Criteria.

I confirm that I have read and agree to the items listed in the Terms and Conditions.

*

Question - Required - I agree to the Terms & Conditions

Yes

Golf Fore the Cure event coordinator application form.

Secondary Contact

Host club / Facility information

Shipping Information

Event Information

General Information

Questions?