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USCAA National Convention

Guest Registration Form

Seperate form should be submitted by each individual bringing guests

Each member has been counted on the official registration form, this form is to count guests only (i.e. spouse, children, etc.):

Name: 

Institution:   

Attendee Title:   

Monday, June 4th from 6:30pm to 9:30pm | Welcome Social (free of charge)


  - # of adult guests attending welcome social (ages 12 and older)

 - # of children attending welcome social (ages 12 and under)
 

Tuesday, June 5th from 5:00pm to 9:30pm | Golf Tournament & Social
*you don't have to play in the tournament, there will be food, games,
and music to enjoy during the length of the outing
 

# of guests playing in golf tournament ($30 per guest)
 

# of non-golfers attending social ($20 per guest)


 # of children attending social (free ages 12 and under)

Name(s) of each guest playing in golf tournament:



   
 

Tuesday, June 5th at 12:30pm & Wednesday, June 6th at 11:30am | Member Luncheons

# of guests attending luncheons ($10 per guest)

 # of children attending luncheon (free ages 12 and under)
 

Total & Form of Payment (All checks should be made out to USCAA, if mailed, send to National Office):

Total price of additional guests 

Please indicate form of payment: