Event Registration

2023 CAS-CIAC Golf Tournament

Registration begins at 10:30 AM; lunch served at 11:00 AM; 12:30 PM shotgun; dinner served at 5:30 PM. Scramble format.

Price includes: golf, greens fees, cart, range balls, lunch and dinner. CASH prizes will be awarded for first and second place, longest drive and closest to the pin.
  • Date: Tuesday, August 15, 2023
  • Time: 12:30 PM Shotgun
  • Site: Chippanee Golf Club, 6 Marsh Rd., Bristol, CT
  • Registration Deadline: August 4, 2023
  • Cost: $175.00 per person
  • Registration Instructions/Information:
    Please make checks payable to CAS-CIAC. Please remit payment to attn: Cathy Prowe

Note: Items with * are required.
Registrant Name*: First*:
Re-Enter E-Mail*:
Mailing Address*:
City, State and Zip*:
Payment Method*:
Credit Card/P.O. Number*:
Expiration Date*: /20
Name on Card*:
Card Verification Code*:
[Where do I find this?]
Billing Address*:
Billing City, State and Zip*:
Note: Credit card number, expiration date, name on card and billing address fields are required only
if you choose VISA or MasterCard as your payment option
List members in your group
List who you will be paying for