Golf Outing Registration
Robert R. Frank Student-Run Free Clinic

Raising awareness for Detroit's uninsured and highlighting the importance of primary care for all

Saturday, June 24, 2017 - Chandler Park Golf Course

Registration begins at 8:00 am
Clinic tour at 8:15 am
Golf Scramble begins at 10:00 am

Breakfast, Lunch, and Dinner will be provided, as well as Beverages

Benefiting The Robert R. Frank Student Run Free Clinic

Email address *
Name *
Your answer
Are you over the age of 18? *
Address *
Your answer
Primary Phone Number *
Your answer
Alternative Phone Number
Your answer
Email Address *
(You will receive a confirmation email when your registration is processed)
Your answer
Which leaderboard are you competing in? *
Emergency Contact *
Please include phone number and relationship
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms