Par for a Purpose Registration Portal

Please provide player information below – Corporate Sponsor (4) Players – Platinum Sponsor (2) Players

Player 1

First Name

Last Name

Phone

Player 2

First Name

Last Name

Phone

Player 3

First Name

Last Name

Phone

Player 4

First Name

Last Name

Phone

Shuttle Service

Transportation will be offered to and from Estevan or Weyburn to the Mainprize Regional Park Golf Course.

Do any of your participants require transportation?

If yes, how many?

If yes, to/from which community?

Payment Information - Due By May 10

𝑪𝑨𝑺𝑯 𝑶𝑹 𝑪𝑯𝑬𝑸𝑼𝑬 𝑶𝑵𝑳𝒀 - Cheques are payable to: Envision Counselling & Support Centre Inc. Box 511 Estevan, SK S4A 2A5 - 𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐨𝐫 𝐜𝐨𝐧𝐜𝐞𝐫𝐧𝐬 𝐩𝐥𝐞𝐚𝐬𝐞 𝐜𝐚𝐥𝐥: 1 (306) 637-4004 (Estevan Office) / 1 (306) 842-8821 (Weyburn Office)

Phone