Feng Yun Summer Go Workshop
Madison Suites Hotel
Somerset, New Jersey
August 23 to 27, 2010

REGISTRATION FORM

Student family name: ______________________  First name: ____________________

Birth date: _______________  Gender:  M  F

E-mail: __________________________________

Cell phone: _______________________  Home phone: _________________________

Address: ______________________________________________________________

Estimated playing strength, rank, or rating: _________________________

Parent/guardian: _________________________  Signature: ______________________

	Early	After August 13
Workshop Tuition	$395	$425

Workshop tuition includes all books and class materials, and light refreshments during snack breaks.

Please check all that apply.

Please make your check payable to the Feng Yun Go School and mail to:

Feng Yun Go School 466 Foothill Road Bridgewater, NJ 08807

Please note that workshop fees are not refundable after August 13, 2010.

Please e-mail any questions to golesson@yahoo.com.

Thank you!