Good Shepherd Services

Wall Street Challenge

Please join us on Tuesday, October 11th, 2011 for the Good Shepherd Services 15th Annual Wall Street Challenge at the Canoe Brook Country Club. For more information about the event click here. To register for this event please fill out the form below.

REGISTRATION FORM

Please fill out this form and click "send".
(* indicates required fields)

General Contact Information

First Name *

Middle Initial

Last Name *

Organization / Company *

Address (First Line) *

City *

State *

Zip *

Phone *

E-mail *

Golf Participation

First Foursome at $7,500

Two Foursomes at $12,500

Tournament Player Information

PLAYER 1

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

PLAYER 2

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

PLAYER 3

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

PLAYER 4

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

How You Can Help /
Donate

Contact Information

For more information about the Wall Street Challenge, please contact Nicole Marie Boisvert in the Development Department:

Phone: 212-243-7070

Email: Nicole_Boisvert@goodshepherds.org