The Longest Day Golf Challenge 2012

It is important that we only receive one registration per team, so if you're the team captain make sure none of the others in your team have already registered with us before filling in this form.

Team name* 

Title* << select >> Mr Miss Ms Mrs Dr Professor Other  

(Title other)

First name*  

Last name*  

Address 1*  

Address 2

Town/City*  

County

Postcode*  

Year of birth

Email*    

Telephone number

Title << select >> Mr Miss Ms Mrs Dr Professor Other

(Title other)

First name*  

Last name*  

Address 1*  

Address 2

Town/City*  

County

Postcode*  

Year of birth

Email*  

Telephone number

Title << select >> Mr Miss Ms Mrs Dr Professor Other

(Title other)

First name

Last name

Address 1

Address 2

Town/City

County

Postcode

Year of birth

Email

Telephone number

Title << select >> Mr Miss Ms Mrs Dr Professor Other

(Title other)

First name

Last name

Address 1

Address 2

Town/City

County

Postcode

Year of birth

Email

Telephone number

Date << select >> 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month << select >> January February March April May June July August September October November December

Please tick this box if you are doing a virtual challenge (eg on a games console or at a crazy golf course), instead of the standard Longest Day Golf Challenge. Please note, you will not be eligible for event prizes.

Please select* << select >> I've taken part before Letter from Macmillan Email from Macmillan Email from Today’s Golfer Email from Golf World Email from Bunkered Magazine: Today's Golfer Magazine: Golf World Magazine: Bunkered Magazine: Golf Monthly Magazine: Going For Golf Magazine: Monarch Magazine: Sport Website: Macmillan Website: Today's Golfer Poster at my golf club From Boots From my employer From my local Macmillan Fundraiser American golf: website American golf: in store American golf: email American golf: other Newspaper: Metro Newspaper: i Newspaper Macmillan News Other (please specify)  

(other)

Media coverage has a real impact on the number of participants that take part in events for Macmillan and we are often asked by the media for interesting stories about our golfers. Please let us know if you have a great story that magazines and newspapers may be interested in. If you are interested in sharing your story please select below the reason that best describes why you are doing this event and we will be in touch for more information.

Please select << select >> I am a cancer survivor A friend/family member of mine has been affected by cancer I am doing this to mark a milestone or birthday I see this as a life changing event for me Other (please specify)

(other)

Macmillan Cancer Support and our trading companies would like to hold your details in order to contact you about our fundraising, campaigning and services for people affected by cancer.

If you do not want us to contact you about other ways to support us, please tick here.

We do not sell or swap your details with any third parties, but in order to carry out our work we may need to pass your details to service companies authorised to act on our behalf. Find out more about how we use your details.

Please tick to confirm you have read and agree to the statement below:  

By submitting this form, I acknowledge that Macmillan Cancer Support does not accept any responsibility for any injury, loss or damage to me or my property incurred during participation in the above event unless Macmillan Cancer Support, its employees or agents cause the injury or damage by their negligence. Any participant who has any concern about his or her physical condition is advised to consult their doctor before taking part in the event.

There is no charge to enter the competition.

All money raised and scores must be received by Macmillan Cancer Support by 4pm Monday 3 September 2012. Prize winners and finalists will be notified by Macmillan during the week commencing Monday 10 September 2012.

A thank you letter and team certificate will be sent to all team captains. For the Longest Day Golf Challenge the four teams with the highest score, determined by funds raised and Stableford scores which must be received by Macmillan by 4pm on Monday 3 September 2012, will be declared the winners. Macmillan Cancer Support is not responsible for any sponsorship money that is not received.

Employees of Macmillan or any of the companies donating prizes will not be eligible for prizes. Only teams of three or teams of four players are eligible for the Challenge prizes. Any teams with under 18's must have at least one adult (over 18 years) in their team. Prizes cannot be exchanged and dates of trips provided by Today's Golfer and Golf World are non transferable.

The decision of Macmillan Cancer Support is final and no correspondence will be entered into. These prizes have been donated and Macmillan reserves the right to substitute an alternative prize if necessary.