Working form | Crested Butte Mountain Conference

Name*

Badge Name*

Main registrant

Address*

Street Address Address Line 2 City State ZIP Code

Contact Phone*

Email*

Enter Email Confirm Email

Registration type*

Will you be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Is this your 1st year at the conference?*

Yes
No

How many years have you been in AA or Al-Anon?*

Please check the areas that you are willing to provide services for

Workshop leader
Discussion Leader
Activities
Information desk
Green Shirts
Alateen
Preteen
Tween

Please add any additional comments below

How many additional people are you registering for this event?*

Please enter a number from 0 to 6.

Registrant +1

Name of additional registrant 1*

Badge Name of additional registrant 1*

Registration type*

Please let us know the age of this registrant.*

Registrant 1- Bill Wilson Open Golf Tournament?

Will registrant 1 also be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Additional registrant 1

Registrant +2

Name of additional registrant 2*

Badge Name of additional registrant 2*

Registration type*

Please let us know the age of this registrant.*

Registrant 2 - Bill Wilson Open Golf Tournament?

Will this registrant also be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Additional registrant 2

Registrant +3

Name of additional registrant 3*

Badge Name of additional registrant 3*

Registration type*

Please let us know the age of this registrant.*

Registrant 3 - Bill Wilson Open Golf Tournament

Will this registrant also be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Additional registrant 3

Registrant +4

Name of additional registrant 4*

Badge Name of additional registrant 4*

Registration type*

Please let us know the age of this registrant.*

Registrant 4 - Bill Wilson Open Golf Tournament?

Will this registrant also be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Additional registrant 4

Registrant +5

Name of additional registrant 5*

Badge Name of additional registrant 5*

Registration type*

Please let us know the age of this registrant.*

Registrant 5 - Bill Wilson Open Golf Tournament?

Will this registrant also be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Additional registrant 5

Registrant +6

Name of additional registrant 6*

Badge Name of additional registrant 6*

Registration type*

Please let us know the age of this registrant.*

Registrant 6 - Bill Wilson Open Golf Tournament?

Will this registrant also be playing in the Bill Wilson Open Golf Tournament?

No
Yes

Handicap

Please enter a number from 1 to 40.4.

Purchase mulligans

1 Mulligan
2 Mulligans
3 mulligans
4 Mulligans

Additional registrant 6

Handling fee

Price: $0.00

Registration fee total

$0.00

Conference Information Opt-In

Yes, I would like to receive my conference registration packet via email.
Yes, I would like to receive annual information by email about the conference and receive updates about this year’s conference.

Please note that we only anticipate that this will result in a total of 2-3 emails per year from the conference.