Champions Retreat Participant Information

Please fill out the following information to complete registration for your participant.

Participant Name

First Name

Last Name

Participant Birthdate

YYYY

Parent/ Guardian Name (Mandatory for under 18 years old)

First Name

Last Name

Is this contact also an emergency contact?

YES

If the answer is NO, please provide an emergency contact name and phone number:

Is a parent/ guardian attending the event with the participant?

YES

Email (Parent/ Guardian)

Phone

(###)

###

####

USGA/ GHIN Handicap (Participant)

Pullover Size

Food Allergies

Please list any food allergies pertaining to participant or parent/ guardian that would be attending.

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