EmailMe Form - LDA Links for Learning

LDA Links for Learning - Golfer Registration

Thank you for participating in our golf fundraiser. Our goal is to raise $8000 with this tournament and extend our reach within the local region - offering summer academic camps, educational consulting for families and workforce preparations services, just to name a few. So many people locally face daily challenges with ADHD and learning disabilities - we need to expand our reach and get them the services they need.

Please submit your team registration on this form. You will then be directed to a separate page to submit your payment.

Captain or Individual Golfer
Captain Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
### - ### - ####
Email
Golfer 2
Leave the following sections blank if you are registering as an individual.
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
### - ### - ####
Email
Golfer 3
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
### - ### - ####
Email
Golfer 4
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
### - ### - ####
Email
Payment
After clicking 'submit', you will be redirected to another page to pay online. We use paypal which enables payment via paypal account, visa, or mastercard. You can also submit a check to:

LDACNY
Attn: Golf Tournament
722 West Manlius St.
E. Syracuse, NY 13057
(315) 432-0665, ext. 19
How can we expect your payment?
Paypal
Check

EMF Online Order Form

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Captain or Individual Golfer

Golfer 2

Golfer 3

Golfer 4

Payment