Website: www.georgechiugolfclassic.com

The 12th Annual George Chiu Golf Classic (2023)
Amateur Chinese Golf Tournament
Lionhead Golf and Country Club, July 15th and 16th, 2023
Entry Form

Please use a separate registration form for each player. Photocopies are acceptable.
Online registration is available at www.georgechiugolfclassic.com
Registration opens on May 8th , 2023 and ends on June 15th , 2023. 
Player Entry Fee: CDN $195.00. (All Divisions except Senior Division)
Player Entry Fee: CDN $185.00. (Senior Division)
Junior Players Ages 10 to16 with a Handicap index of 25 or less are Invited to Play Free of Charge.
The field is limited to 168 golfers including 40 junior players (20 boys and 20 girls) on a first come, first served basis.

The entry fee includes green fees, power cart (for players only), breakfast, lunch, welcome package, awards dinner on July 16th, 2023 and lucky draw prizes. Additional dinner tickets for guests are available at CDN $65.00 each.

Name:
Gender:
Age: 
Home
Address:
City:
Province
/State:
Postal/ZIP Code:
Telephone:
Email:
Club Affiliation (if any):
Handicap Index:
Please check the appropriate category:
Cancellation Policy: Any Cancellation before June 15th, 2023 will be entitled to a refund less 20% Administration Fee. After June 15th 2023, there will be NO refunds. 
Total Payment $:
(As of July 15th, 2023) 
Cardholder’s Name:
Terms and Conditions

I, the undersigned, hereby waive, release and hold harmless the George Chiu Golf Classic Tournament, its executives, committee members, volunteers, employees, as well as, the Lionhead Golf and Country Club and its employees from any liability resulting from injury or loss through my participation in this event.

 
I hereby give my permission to allow my name, photographs and tournament results to be released to the press/media and allow this information to be posted on the official George Chiu Golf Classic website including any articles resulting in my success.

 
By signing this entry form, I do acknowledge that I have read, understand and will abide by the Tournament Rules and Regulations of the George Chiu Golf Classic. 

© Copyright 2013. George Chiu Golf Classic Inc.  All rights reserved.  
Signature:______________________________
Note: Except grouping by gender and age, player can choose Championship Division, winner will be awarded with George Chiu Golf Classic highest honor red jacket. Players who choose Championship Division must tee from golden tee area.
Cardholder’s Signature:
Card Number: 
Expiry Date:
CVV:
MaleFemale
Championship Division
"A" Division
"B" Division
Senior Division
Ladies Division
Junior Boy Division (handicaps 25 and under)
Junior Girl Division (handicaps 25 and under)
I am enclosing a cheque (Please make cheques payable to George Chiu Golf Classic and mail to: 8 Clipper Court, Brampton, ON L6W 4T9, Telephone no: 905-848-8887)
I am paying by Visa, Mastercard or American Express