Charity Golf tournament

April 24, 2003

At the beautiful Grey Silo Golf Course

You are cordially invited to play in the golf tournament at the magnificient Grey
Silo Golf Course, and enjoy the delicious dinner and evening programme afterward.

Participant information

Name: ___________________________________________________

Mailing Address: ________________________________________

City: ____________________________ Postal Code: _________

Company/Organization: ___________________________________

Phone Number: ___________________________________________

Skill level (circle one): . Beginner . . Intermediate . . Advanced .

[] I wish to play in a group along with the following people:

Other group members: 1) __________________________________

2) __________________________________

3) __________________________________

(please be sure that the above members also list you in their group)

[] I wish to play in an assigned group of four members

The cost to play in the tournament is $100.00, which includes green fees, motorized carts, dinner,
and a $25 donation to the Mantangwe Hospital Project. Donations greater than $25 are most welcome.
All participants will be issued a tax receipt in the amount of $25 plus additional donations.

I wish to donate the following amount to the African Mantangwe Hospital Project in support of those
in urgent need of medical care:

. $100 . . $125 . . $150 . . $175 . . $200 . . Other: $ __________ .(greater than $100)

Method of Payment: Cash Cheque

Please make cheques payable to Waterloo Collegiate Institute. Payments, along with this completed
registration form, must be sent to Waterloo Collegiate Institute's Activities Office by April 4,
2003

Please indicate you meal preference: vegetarian non-vegetarian

Schedule of Events on April 24, 2003 at Grey Silo:
Golfing begins with shotgun start - 12:00 pm

Dinner and Evening Programme - 6:00 pm

Signature: __________________________________ Date: _____________________________

For your pleasure, complimentary refreshments will be available throughout the course

Thank you very much for your support and generosity

** Print this form off and mail it to Waterloo Collegiate Institute ** . 300 Hazel Street
. Waterloo, Ontario
. N2L 3P2

Are you an Alumni?
Alumni include: Staff or Students who have attended W.C.I. for at least one year over the past forty years.

Online Registration Form