Application to The Bates Foundation for Golf Training

The Bates Foundation
P.O. Box 7824
Broomfield, CO 80021-0031
Phone: 303-507-8668
Fax: 303-494-8788
joe@batesfoundation.org

2007 APPLICATION FOR PARTICIPATION

Salutation First Name Last Name Address1 Address2 City State ZIP Telephone Cell Phone E-mail Brief Description of Disability: 300 characters Current Physical Limitations: 200 characters I want to:

By clicking SUBMIT on this form I hereby make my application to be a participant in The Bates Foundation activities and agree to the terms set forth. This form will be sent electronically to the Bates Foundation,
and you will be informed of our decision regarding your participation. All the fields on the form need to be completed, please check them for accuracy.

THE BATES FOUNDATION is dedicated to improving the quality of life
for disabled individuals through the game of golf and Christian fellowship.

THERE IS NO COST FOR PARTICIPANTS IN OUR FOUNDATION”S ACTIVITIES
AND SPACE IS LIMITED.

The Bates Foundation does not guarantee your application will be accepted or you will be allowed to participate in any of our programs. The Bates Foundation reserves the right to accept only those participants the Director deems, in his sole discretion, to be suitable for participation in our programs.