The Academy Classic Golf Tournament Registration Form

Your Name*

First Last

Your Address*

Street Address City State ZIP Code

Your Email*

Phone*

Number of Golfers*

$175 per golfer

One Golfer
Two Golfers
Three Golfers
Four Golfers
Non-Golfer Registration (join us for dinner)

Coupon Code

If you have a coupon code, please enter it here.

Contests, Games, and Mulligans*

$25 for a single golfer, $100 for a full team.

No Contests Games, and Mulligans Registration
One Golfer: Contests, Games, and Mulligans Registration
Full Team: Contests, Games, and Mulligans Registration

Non-Golfer Registration*

Non - Golfer (Dinner) $75

Young Alum/Faculty/Staff Discount*

$50 discount per young alum (under 30)/faculty/staff

No Young Alums/Faculty/Staff
One Young Alum/Faculty/Staff

Young Alum/Faculty/Staff Discount*

$50 discount per young alum (under 30)/faculty/staff

No Young Alums/Faculty/Staff
One Young Alum/Faculty/Staff
Two Young Alums/Faculty/Staff

Young Alum/Faculty/Staff Discount*

$50 discount per young alum (under 30)/faculty/staff

No Young Alums/Faculty/Staff
One Young Alum/Faculty/Staff
Two Young Alums/Faculty/Staff
Three Young Alums/Faculty/Staff

Young Alum/Faculty/Staff Discount*

$50 discount per young alum (under 30)/faculty/staff

No Young Alums/Faculty/Staff
One Young Alum/Faculty/Staff
Two Young Alums/Faculty/Staff
Three Young Alums/Faculty/Staff
Four Young Alums/Faculty/Staff

Golfer #2 Name*

First Last

Golfer #2 Email*

Golfer #3 Name*

First Last

Golfer #3 Email*

Golfer #4 Name*

First Last

Golfer #4 Email*

Additional Information

Please provide any additional notes here.

Total

$0.00

Payment Method*

American Express

Discover

MasterCard

Visa

Card Number Card Number Expiration Date Expiration Date Security Code Security Code

Email

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