US Golf Cap
USGC Handicap Index

The *OFFICIAL* Junior Golf Handicap System

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RECORD YOUR SCORE
1. Enter your Member #
2. Record your most recent score
3. Give values for all fields in RED
4. Enter email address and
we will send your updated USGC Handicap.

Please fill out this form as completely as possible. Fields that are red are required.

Date:
Name (Last, First MI):
Home Address:  
City: State: Zip:
Email: 
Date of Birth:  Age:  Gender:

Package Div I:  
Package Div II:  
Package Div III:  

Name of Course:
Length of Course:
Number of Holes on Course:
Weather During Play:
Course Rating:
Course Slope:
Location of Course:
Score per Hole - 8 or Less holes played:
OR Score for 9 Hole Round:
# of 9 Hole Rounds Played to Date:
OR # of Holes Played to Date:
Member # :
Date Enrolled :
Expires :
Misc 4:
Misc 5:
Misc 6:

Payment:
Type of Card:
Name on Card:
Card Number:
Expiration Date:
Access Code: (3 or 4 digit)

Refer a Friend:
Friend's Name:
Email:
Address:
City: State: Zip: