Harlem-Roscoe Professional Firefighters Golf Play Day Golfer Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email: *Number of Golfers *--- Select Choice ---1 Golfer2 Golfers3 Golfers4 GolfersGolfer 1 *FirstLastEmail *Phone *Shirt Size *--- Select Choice ---SmallMediumLargeX-Large2X-Large3X-Large4X-Large5X-LargeGolfer 2 *FirstLastEmail *Phone *Shirt Size *--- Select Choice ---SmallMediumLargeX-Large2X-Large3X-Large4X-Large5X-LargeGolfer 3 *FirstLastEmail *Phone *Shirt Size *--- Select Choice ---SmallMediumLargeX-Large2X-Large3X-Large4X-Large5X-LargeGolfer 4 *FirstLastEmail *Phone *Shirt Size *--- Select Choice ---SmallMediumLargeX-Large2X-Large3X-Large4X-Large5X-LargeSpecial Notes:1 GolferPrice: $200.002 GolfersPrice: $400.00 Size Email Golfer 3 GolfersPrice: $600.004 GolfersPrice: $800.00NOTE: To help ensure committed participation and keep registration fair for everyone, payment is required at the time of registration. Because our event sells out each year, unpaid spots and no-shows can prevent other golfers from participating. Please note that all registrations are non-refundable, and the event will be held rain or shine. We appreciate your understanding and support in helping us keep the event organized and accessible to those ready to attend. If you have any questions or perfer to by via check, please do NOT submit an online registration; email: [email protected]. Square: Pay with Card *CardName on CardSubmit