Application for Shogi Club

This is a pilot program now. If we do not have enough people, We may cancel this club.

Please fill out the form below.

 

First Name:

Last Name:

 

Address:

City:

County:

Zip Code:

State:

Telephone(no hyphen):

Fax:

Email:

   

Age:

Sex:

 

Volunteering:

I know: