21st Annual Golf Registration Form (NEW DATE: Friday June 20 2025) Survey

Event Details

$125 per person - must be paid by June 12 2025

4-person best ball scramble

Includes: 18 holes of golf, power cart, dinner (burger or sausage on a bun plus salad bar), contests, prize and silent auction table.

Mulligan Package available. $10 for 3 mulligans plus chance to win the mulligan prize

Currently only 8AM tee times are available.

NOTE: 8AM start time registrants have the option to decline dinner and their prize (i.e.: participate in morning golf, course contests and access to early bidding at the silent auction table but not return to the course for supper and prize selection) in exchange for a $50 tax receipt. Please note that the silent auction will remain open to bidding until after dinner. The option to opt-out of the meal + take home prize must be confirmed prior to June 12 2025 in order to receive your tax receipt.

*Registration fees are non-refundable after June 12 2025

1.Team Name:

2.Please indicate if you plan to return for dinner and prizes.

Yes, the entire team will return for dinner, prizes and the close of the silent auction.

No, the entire team choses to be done after the morning round of golf and opt-out of dinner and prizes ($50 tax receipt will be issued to each player following the event provided that this option is selected prior to June 12 2025)

Unknown at this time or there is mix of option choices for the team. Participants will let Hospice L&A know if they wish to opt-out prior to June 12 2025.

Comments (optional)

3.Golfer #1

Name:

Phone Number:

Email:

4.Would golfer #1 like to add on a mulligan package ($10 for 3 mulligans)? MULLIGAN CONTEST: Hand in your mulligan card after your round for a chance to win the mulligan contest prize!

1 Mulligan Package add on ($10 mulligans + $125 entry = $135 TOTAL)

No thank you. Player 1 does not wish to purchase any mulligan packages (Owe $125 for registration only)

5.Golfer #2

Name:

Phone Number:

Email:

6.Would golfer #2 like to add on a mulligan package ($10 for 3 mulligans)? MULLIGAN CONTEST: Hand in your mulligan card after your round for a chance to win the mulligan contest prize!

1 Mulligan Package add on ($10 mulligans + $125 entry = $135 TOTAL)

No thank you. I do not wish to purchase any mulligan packages (Owe $125 for registration only)

7.Golfer #3

Name:

Phone Number:

Email:

8.Would golfer #3 like to add on a mulligan package ($10 for 3 mulligans)? MULLIGAN CONTEST: Hand in your mulligan card after your round for a chance to win the mulligan contest prize!

1 Mulligan Package add on ($10 mulligans + $125 entry = $135 TOTAL)

No thank you. I do not wish to purchase any mulligan packages (Owe $125 for registration only)

9.Golfer #4

Name:

Phone Number:

Email:

10.Would golfer #4 like to add on a mulligan package ($10 for 3 mulligans)? MULLIGAN CONTEST: Hand in your mulligan card after your round for a chance to win the mulligan contest prize!

1 Mulligan Package add on ($10 mulligans + $125 entry = $135 TOTAL)

No thank you. I do not wish to purchase any mulligan packages (Owe $125 for registration only)

11.Team or individual payment:

Will pay the team fee in one payment ($500, plus any optional mulligan packages)

Each member will pay their own entry fee ($125/golfer, plus any optional mulligan packages)

Other - will contact Hospice to make payment arrangements

Thank you for reserving your team spot. We ask that team registration and mulligan package payments be made prior to June 12 2025 to confirm your participation and time slot. Payments can be e-transferred to info@landahospice.ca, dropped off or mailed to: 8 Richmond Park Drive, Napanee ON K7R 2Z4, by credit card by requesting an electronic invoice or by calling 613-354-3301 ext. 203 with your credit card information.