1-902-847-9000
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Registration

First Name *

Last Name *

Phone Number (Cell Preferred) *

Email *

Comments

First Name *

Last Name *

Email (if different from above)

Birth Date *

Golf Canada # / HDCP Index *

Gender *

Male

Female

Division *

Are you a Member at Berwick Heights? *

Yes (U13, U15, U17, U19)

Yes (U11)

If not what is your home club?

Amount

Payment Method

Payment Due

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Captcha*

Berwick Heights Golf Course
3060 Hwy 221, Weston,
Nova Scotia, Canada B0P 1E0

902-847-9000

[email protected]