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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 Playing Experience: __________
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Phone:(____)_____________ Email Address: ______________________________
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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:
$250.00 |
Ages 10-13 or if playing only 9 holes...................
Cost: $205.00
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Please
Check the BWJGA Tournaments/Events
You Plan On Attending:
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| _____ 6/21 Black River Country
Club
_____ 7/15
Fore Lakes Golf Course |
| _____
6/25
PH Elks Golf
Club
_____ 7/19
St. Clair River Country Club |
| _____
6/28 Holly
Meadows Golf Course
_____
7/22
Lakeview Hills Golf Club |
| _____
7/9 Port Huron Golf Club _____ 7/27
Belle River Golf
Course |
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_____
7/12 Burning Tree Golf & Country Club _____ 7/29
Marysville Golf Course |
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I hereby give my consent for
my son/daughter to participate in the BWJGA Tournaments/Events:
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| Parent/Guardian Name: ________________________ Signature:_________________________ |
| Emergency Contact: __________________ 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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