About
About ILRC
Contact Us
Job Application
Programs/Services
Greater Expectations
Our Services
M.E.R.N
Classes & Group Activities
Resources
News
Fundraisers/Events
Golf Tournament
Christmas Cards
Move It for Autism
Autos for Autism
iCan Bike Camp
Calendar
FMS/Payroll
New Customer Requirements
Worker Registry
Enjoy the Advantages
Payroll Packets/Corrections Form
Call:
316-942-6300 |
Visit Us:
3033 West 2nd St N Wichita, KS
|
About
About ILRC
Contact Us
Job Application
Programs/Services
Greater Expectations
Our Services
M.E.R.N
Classes & Group Activities
Resources
News
Fundraisers/Events
Golf Tournament
Christmas Cards
Move It for Autism
Autos for Autism
iCan Bike Camp
Calendar
FMS/Payroll
New Customer Requirements
Worker Registry
Enjoy the Advantages
Payroll Packets/Corrections Form
Golf Tournament Registration
Contact Information
Name
*
First
Last
Phone Number
*
Email
*
Today's Date
*
Date Format: MM slash DD slash YYYY
Are you signing up as a company?
*
- Select Answer -
Yes
No
Company Information
Company Name
*
Company Phone Number
*
Company Logo
Company Address
*
Street Address
City
State / Province / Region
Registration Information
Are you a team or individual?
*
- Select Answer -
Team
Individual
Team Members
*
Name
Email
Team Signup
Price:
$600.00
Individual Signup
Price:
$150.00
Are you interested in signing up for a sponsorship?
*
- Select Answer -
Yes
No
Which level are you interested in signing up for?
*
Empowerment Sponsor
Team & Hole
Hole Sponsor
Are you interested in the wristband package?
*
- Select Answer -
Yes
No
Wristband package covers cost of play at game holes-includes Raffle & Mulligan Tickets.
Wristband Package
*
Price:
$50.00
Price reduced from $80 until May 1st
Total
$0.00
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.
Independent Living Resource Center All Rights Reserved © 2019
Site by
LMG
