Families of Spinal Muscular Atrophy

Golf Registration:

# of Participants:

Player 1 (Captain):

First Name

Last Name

Phone

Email

Address

City

State

Zip

Player 2:

First Name

Last Name

Phone

Email

Address

City

State

Zip

Player 3:

First Name

Last Name

Phone

Email

Address

City

State

Zip

Player 4:

First Name

Last Name

Phone

Email

Address

City

State

Zip

Registration Fees:
Participant(s) - $125/Person

Waiver: I hereby acknowledge that I am physically able to participate in this FSMA Fundraising Event. I waive any and all claims arising out of this event which I might assert against Families of SMA, their directors and volunteers.

I agree to the Families of Spinal Muscular Atrophy (FSMA) event disclaimer and I am 18 years of age or older, or I am the legal guardian of the child(ren) attending the event.