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REGISTRATION FORM |
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Name:_______________________________________________________________ |
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Address:
____________________________________________________________
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City/State/Zip:
_______________________________________________________
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Age:_______
___
Male ___Female Years
of Playing Experience: ________
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Phone:(____)_____________ Email: _____________________________
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| Registration
Fee:
(please CIRCLE & PAY the correct amount) |
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Ages 14-17 or if playing 18 holes..........................
Cost:
$210.00 |
Ages 10-13 or if playing only 9 holes...................
Cost: $175.00
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Please
Check the BWJGA Tournaments/Events
You Plan On Attending:
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| _____
6/19 Lakeview Hills Country Club _____
7/11 Port Huron Golf Club |
| _____ 6/23 Black River Country
Club
_____ 7/14
St. Clair River Country Club |
| _____ 6/27
Elks Golf
Club
_____ 7/17
Fore Lakes Golf Course |
| _____
6/30 Holly
Meadows Golf Course
_____
7/21
Burning Tree Golf & Country Club |
_____ 7/31
Marysville Golf
Course
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I hereby give my consent for
my son/daughter to participate in the BWJGA
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Parent/Guardian Name: __________ Signature:____________________
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| In
Case of Emergency Call: __________________ Phone: (
) ___________________
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| Volunteer
Sign-Up
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| Name:______________________
Phone: ________________
Email: _________________
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| For Office Use Only:
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| Amount
Paid ______________ Total Paid
_______________
Payment Type _____________
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Written Test __________ Skills Test _________
In Computer _________
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