Junior Golf Tournament in Carson, CA.

LBGLC JUNIOR GOLF PROGRAM

2011 SEPT THRU DEC MEMBERSHIP FEE $25.00

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 Mike Sweeney, 316 W. Neilson Street, Carson, Ca. 90745

Comments:

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