NDGA JUDGE’S TRAINING SIGN UP FORM

Name of Participant: ___________________________________________________

Mailing Address: ______________________________________________________

City, ST, Zip: _________________________________________________________


Telephone Number: (______) _________________________

Email: ________________________________________________________________

Please Choose One: $100 _____ Judge’s License $75  _____ Auditor

Please give a brief explanation of why you are taking NDGA Judge’s Training:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________              ______________________

(signature)                                                                                     (date)

Please send check and sign up form to

Ann Alecock

R.R. #1 Box 94AA

Smithshire, IL 61478

Make Checks out to LOL NDGC