Individual Player Registration (Printable version, use your back button to go back)

Please print out this form and mail to:

American Red Cross, Mid-Fairfield County Chapter

36 Church Lane, Westport, CT 06880

Registration Deadline is June 1

Make Checks Payable To The American Red Cross, Tax Deductible to the extent allowed by law.

Golf - Please Reserve ______ places @ $150 each for Golf - Golf Name(s) and Handicap/Avg:

1)

2)

3)

4)

Tennis - Please Reserve ______ places @ $60 each for Tennis - Tennis Name(s) and skill (Adv, Int, Beg)

1)

2)

3)

4)

I have enclosed a registration check for $

Name:

Company:

Address:

City/State/Zip

Daytime Telephone: