MISS Foundation
Children's Memorial Golf Tournament
Online Registration

Your Name*:
  
Your Email Address*:
 
Players to be paired with:
  
Player:
Player:
Player:
Entry fees are $150 per person ($100 per person from MISS families)
and due no later than October 31, 2006.

Your Company:
 
Your Address:
City:
State:
Zip:
Daytime phone*:
 

*-required field


If you would like to participate with the Field of Butterflies, then please add an additional $15.00 per child to your registration fees. Please provide the name(s) and birth/death dates of the child(ren) to be remembered in the box below:



Please indicate your payment preference:
Secure Server or Mail

Upon submitting your registration, you will receive a confirmation email. If you would like to pay your registration fees via our secure online payment processing center, you may do so after submitting your registration information here. If you would rather mail your payment, please make checks payable to "MISS" and mail to:

MISS Foundation
Golf Tournament
P.O. Box 5333
Peoria, AZ 85385


Please only submit one time. It may take a moment to process. Thank you for your patience.