Calvary Men of Standard Youth Golf Registration

Calvary Men of Standard

Youth Golf Registration
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Gender: (Male / Female)
example: Male
Age:
example 12
Date of Birth

MonthDayYear
example: 01-06-2010
Handiness: (Left/Right):
example: Right
Shirt Size
Please enter shirt size by gender (example: boys large)
School and Grade
example: Morristown (8)
Known Medical Condition
Please describe in detail medical condition and any medication taken and/or needed
Parent /Guardian:
example: Parent
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Signature

Clear
Date

MonthDayYear
Date
Contacts for information:

Stan Prater (201-787-5699), Henry Lee (973-202-3871), Milford Nixon (732-735-3147
Should be Empty:

Calvary Men of Standard