Junior Golf Tournament in Carson, CA.

JUNIOR GOLF PROGRAM (CL65)

$ 25.00 ANNUAL JUNIOR MEMBERSHIP FEE

PARENTS MAY ALSO JOIN TO RECEIVE HANDICAP INDEX CARD

$ 35.00 ANNUAL REGULAR (PARENTS) MEMBERSHIP FEE PLUS $23.00 HANDICAP INDEX CARD TOTAL $ 58.00

1. Completely fill out six (6) items on this screen.
2. Scroll to the bottom and send the information electronically by clicking on "Send Info"
3. Thanks for your time in completing this signup.

Membership Member Name:

Member Address:

City, State, Zip Code:

Parents Name:

Telephone:

Parents E-mail address:

Junior: Gender, Age & Birth Year:

Middle or High School Attending:

Junior Division Preference (Division One or Advanced)

Make check out to LBGLC Junior Golf Program, and mail to Fabian Rivera, 316 W. Neilson St., Carson, Ca. 90745.

Comments:

Signup for LBGLC Junior Golf Program - Contact Fabian Rivera at 310/618-1344