George Chiu Golf Classic - Junior Tournament Application Form

George Chiu Golf Classic - Junior Tournament Application Form
Event Date: August 23, 2024
Location: Woodington Lake Golf Club



Participant Information:

Full Name:

Address:

Phone Number:

Email Address (or Parent/Guardian's Email):


Age Category: (Please check the appropriate box)



Gender:




Shoe Size:
(Please specify shoe size for potential gear fitting)






​Payment Method:





Credit Card Information: (if applicable)

Cardholder Name:

Card Number:

Expiration Date:

CVV:


Terms and Conditions:


© Copyright 2013. George Chiu Golf Classic Inc.  All rights reserved.  
Emergency Contact Information:

Name:

Phone Number:

Relationship to Participant:



Dinner Banquet Confirmation:



Additional Notes or Dietary Restrictions:
(Please specify any dietary restrictions or additional notes regarding the participant's needs.)

Parent/Guardian Signature:

Date:

Website: www.georgechiugolfclassic.com
Entry Fee: $75
(Includes participation in the Junior Tournament)

Please fill out and send your Application Form to:
10-13 years old
14-16 years old
Credit Card
Check
Online Payment (e.g., PayPal, Stripe)
Other
Male
Female
Prefer not to say
I agree to the Terms and Conditions.
Yes, I will attend the dinner banquet.
No, I will not attend the dinner banquet.