About
About Us
What We Treat
Does Your Loved One Need Help?
Why Choose Us?
Our Program Works
Meet Our Leadership Team
See our Rehab Center and Grounds
Blog
CALL US AT 336-553-6596 TO CONNECT WITH AN ADMISSIONS COUNSELOR NOW
Treatment
Treatment Options
What We Treat
Medically Managed Detox
Residential Drug and Alcohol Recovery Program
Women’s Residential Treatment
Men’s Residential Treatment
Residential Treatment for Young Adults
For Professionals
Extended Treatment
Family Programs
Outpatient Services
Connect with us
Admissions
How Much Will Treatment Cost?
What Can I Expect?
What Should I Bring
Admissions Inquiry Form
Insurance Verification Form
Your Health & Safety Is Our Top Priority
Pay Your Bill
CALL US AT 336-553-6596 TO CONNECT WITH AN ADMISSIONS COUNSELOR NOW
Alumni
Surviving the Bermuda Triangle
Continuing Care After Treatment
The Gateway Newsletter
Online Resources
Alumni 101
Hall Mall
More Alumni Events
Education
Careers
Contact
DONATE
Admissions
(336) 553-6596
Office
(336) 621-3381
About
About Us
What We Treat
Does Your Loved One Need Help?
Why Choose Us?
Our Program Works
Meet Our Leadership Team
See our Rehab Center and Grounds
Blog
CALL US AT 336-553-6596 TO CONNECT WITH AN ADMISSIONS COUNSELOR NOW
Treatment
Treatment Options
What We Treat
Medically Managed Detox
Residential Drug and Alcohol Recovery Program
Women’s Residential Treatment
Men’s Residential Treatment
Residential Treatment for Young Adults
For Professionals
Extended Treatment
Family Programs
Outpatient Services
Connect with us
Admissions
How Much Will Treatment Cost?
What Can I Expect?
What Should I Bring
Admissions Inquiry Form
Insurance Verification Form
Your Health & Safety Is Our Top Priority
Pay Your Bill
CALL US AT 336-553-6596 TO CONNECT WITH AN ADMISSIONS COUNSELOR NOW
Alumni
Surviving the Bermuda Triangle
Continuing Care After Treatment
The Gateway Newsletter
Online Resources
Alumni 101
Hall Mall
More Alumni Events
Education
Careers
Contact
DONATE
We can help. Call us at (336) 621-3381
Fellowship Hall
» 2024 Individual and Team Golfer Registration
We can’t wait to see you at the E. Raymond Alexander Jr. Memorial Golf Tournament!
Friday – August 2 – Bryan Park
2024 Individual Golf or Team Registration
Who will you be registering?
*
Individual
One Team
Two Teams
Name of individual you are registering
*
First
Last
Shirt size of the individual you are registering
*
XXXL
XXL
XL
L
M
Handicap of the individual you are registering
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Would you like to add a Mulligan for this player?
No
Yes ($25)
Team One
Team One Name
*
Number of Players on Team One
*
Three Players
Four Players
Player #1 Name
*
First
Last
Shirt Size
*
XXXL
XXL
XL
L
M
Handicap
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Add Mulligan?
No
Yes ($25)
Player #2 Name
*
First
Last
Shirt Size
*
XXXL
XXL
XL
L
M
Handicap
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Add Mulligan?
No
Yes ($25)
Player #3 Name
*
First
Last
Shirt Size
*
XXXL
XXL
XL
L
M
Handicap
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Add Mulligan?
No
Yes ($25)
Player #4 Name
First
Last
Shirt Size
XXXL
XXL
XL
L
M
Handicap
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Add Mulligan?
No
Yes ($25)
Team Two
Team Two Name
*
Number of Players on Team Two
*
One Player
Two Players
Three Players
Four Players
Team 2, Player 1
*
First
Last
Team 2, Player 1 Shirt Size
*
XXXL
XXL
XL
L
M
Team 2 Player 1 handicap
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Team 2, Player 1 Add Mulligan?
No
Yes ($25)
Team 2, Player 2 Name
*
First
Last
Team 2, Player 2 Shirt Size
*
XXXL
XXL
XL
L
M
Team 2, Player 2 Add Mulligan?
No
Yes ($25)
Team 2, Player 2 Handicap
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Team 2, Player 3 Name
*
First
Last
Team 2, Player 3 Shirt Size
*
XXXL
XXL
XL
L
M
Team 2 Player 3 Handicap
*
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Team 2, Player 3 Add Mulligan?
No
Yes ($25)
Team 2, Player 4 Name
First
Last
Team 2, Player 4 Shirt Size
XXXL
XXL
XL
L
M
Team 2 Player 4 Handicap
1-5 Handicap
6-10 Handicap
11-15 Handicap
16+
Team 2, Player 4 Add Mulligan?
No
Yes ($25)
Checkout
Total
$0.00
Billing Name
*
First
Last
Email
Credit Card
Card Details
Cardholder Name
Δ
