Please complete the registration form below.
First Name (required)
Last Name (required)
Is this your first time attending one of our clinics?
Are you a Participant or Volunteer?
What adaptive equipment do you need (if any)?
NONESolo RiderParamobile Right-HandedParamobile Left-HandedCaddy (assistant)Don't know yet
Are you a Veteran?
Will you be playing golf afterwards?
Do you have a DBIDS Card/Military ID?
—Please choose an option—NeitherI have a valid DBIDS CardI have applied for a DBIDS CardI have a Military ID
Date of Birth (for access to MCRD Parris Island)
Driver's License Number (for access to MCRD Parris Island)
Driver's License State (for access to MCRD Parris Island)
—Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Will you be staying for lunch? (Sponsored by Gateway Mortgage)
Lunch Selection (select one)
CheeseburgerHot DogChicken Wrap
Lunch Side (select one)
Select month you will attend.
READ THE PHOTO RELEASE TERMS AND LIABILITY WAIVER FORMS.
You will not be able to finish registration without agreeing to the photo release and liability terms.
I agree to the Photo Release terms.
I agree to the Liability Waiver terms.