Waiting List Form

Online registration form with credit card processing fill out the form below. 

Registration form without credit processing - click here.
[Note: call 310-529-0345 to pay or send check]


​ PAYMENT INFO

NOTE: additional 3% feem for Credit Card Payments


Credit card processing available on the registration form. If you don't feel comfortable filling out the form, please call Ken Bhakta at 310-529-0345 to pay with credit card over the phone or

  • Make checks payable to Bhakta Open
  • Mail to: Ketan Bhakta - 16808 Sunny Ridge Ct, Cerritos, CA 90703
BHAKTA GOLF REGISTRATION FORM