Register for Golf

Public Safety Summit Golf Registration 2025

"*" indicates required fields

Information

Please call Allen McDaniel at 601-540-2794 or amcdaniel@dps.ms.gov with any questions. We look forward to seeing you at the 2025 Public Safety Summit, May 28-30, at the Refuge Resort and Conference Center, 2100 Refuge Blvd, Flowood, MS.

Name*

First Last

Preferred Name on Badge*

First Last

T-Shirt Size

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email (civilian preferred)*

Any changes or updates will be sent via email and text.

Cell Phone*

Any changes or update will be sent via email and text.

Agency*

DPS employees please list sub-agency. AGO employees please use “AGO” listing.

Special Accommodations?

Please specify any special accommodations you may require.

Activities

Please mark the following events that you and any colleagues want to participate.

Golf – Friday Morning Flight (Begins at 8:30 a.m.)

$95 per person. Refuge Golf Course, 2100 Refuge Blvd, Flowood, MS 39232

Yes

How many are you paying for?

Golf – Morning Flight

Participant names:

Please include all other participant names you are paying for. Use the (+) icon to add more names. If only paying for you please leave blank.

Name

Golf Shirt Size of Participant 1

Golf Shirt Size of Participant 2

Golf Shirt Size of Participant 3

Golf Shirt Size of Participant 4

Golf – Friday Afternoon Flight (Begins at 1:30 p.m.)

$95 per person. Refuge Golf Course, 2100 Refuge Blvd, Flowood, MS 39232

How many are you paying for?

Golf – Afternoon Flight

Please enter a number greater than or equal to 1.

Participant names:

Please include all other participant names you are paying for. Use the (+) icon to add more names. If only paying for you please leave blank.

Name

Golf Shirt Size of Participant 1

Golf Shirt Size of Participant 2

Golf Shirt Size of Participant 3

Golf Shirt Size of Participant 4

Team Listing for Golf

If you are playing golf with a team and team members are paying separately please list the other members here.

Total and Payment

Golf Fees

Price: $0.00

Total

Comments

Fees waived?

If, for some reason, your fees are waived, please check here.

My fees are waived

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Register for Golf

Public Safety Summit Golf Registration 2025

Information

Activities

Total and Payment

Mailing Address

Physical Address

Office Hours