2007 Future Champions Golf
Membership Application
Juniors Name (s) :________________________ AGE :__________
Parents Names :______________________________________
Street Address : ______________________________________
City :____________________________ ZIP :_________
HOME PHONE :_____________ CELL PHONE :_______________
EMAIL :_____________________________________**REQUIRED**
(Please put smealgolf@hotmail.com on your Safe List)
WOULD YOU LIKE TO ESTABLISH A HANDICAP WITH THE SCGA? YES or NO
(Included in your FCG Membership Dues)
Birthday :____________________________ Skill Level: BEG INT ADV
How did you hear about FCG?___________________________________
Form of Payment: CASH--------CHECK------- CREDIT
Credit Card #_______________________________ EXP DATE:_________
You can order FCG Merchandise here: $10 for T-Shirt, $15 for Hat.
Please Circle what you would like added to your Membership (Specify Quantity) . Hat______ T-Shirt:_____
Checks payable to Future Champions Golf if returning by mail please send to:
Future Champions Golf, 6151 Calle Mariselda #308
San Diego, CA 92124 Attn: Membership
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WAIVER OF LIABILITY FOR DURATION OF MEMBERSHIP:
I agree that the above child's participation in the Future Champions Junior Program and the activities at Stadium Golf Center or elsewhere is without assumption of liability of any nature by Future Champions Golf, Stadium Golf Center, its Officers, Directors, Employees and Staff or other Volunteer Instructors, any golf course or driving range or any other facility where the program activities are conducted. I do hereby release and discharge the above mentioned individuals and entities from any and all claims my child may suffer or sustain, directly or indirectly, in connection with any such participation and activities.
Parent/Guardian Signature:_________________________________DATE:________________
2007 FEES TO JOIN
$45 For a Single/ $80 for a Double/ $100 for 3 or More
DUAL MEMBERSHIP with SDJGA: Registration Now Open: Register for Both FCG and SDJGA for $80 at www.sdjga.org
