Register to Golf

GOLFERS: Please complete and submit the form below.

$300/Golfer; $1,150 if you register a foursome; golfers' brunch and dinner are included in the fees.

NOTE: If your significant other and/or friends will be attending the dinner only, they must complete the Dinner Registration Form.

I am registering . . .

Meal Choice(s)

Please enter the number of each meal selection, including yours and the other golfers you are registering.

Select an item ($)

Thank you for registering! We look forward to seeing you.

Samaritan is classified as a 501 c 3 nonprofit, a registered charity, EIN number is 25-1425598. Your gift is tax-exempt, and you will receive an acknowledgment for your records. The official registration and financial information of Samaritan Counseling Center of Western PA (legal name) may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.