North East Junior Golf Tour

 

2012

 

Tour Membership Application

 

(PLEASE PRINT)

 

Name____________________________________________________   Sex_______   Age as of 6/1/2012_____________

 

Address__________________________________________________________   Date of Birth______________________

 

City, State, Zip__________________________________________________________________   Handicap_____________

 

First Name You Go By (i.e. Robert or Bob)____________________________________

 

Health Problems_________________________________________________________________________________________

 

Home Telephone (______)_________________   Parents Work Telephone (_____)_________________

 

Member Last Year?      Yes         No                 

 

Parent/Guardian Name______________________________________________________________

 

 

Membership Fees

Annual membership fee per member - $35.00 due with application

Entry Fees are $40-$45 per event -- or see Package Deal

Two or more members per family – 10% discount for each member entry fees only

 

 

Package

This year the Package includes a11 15 tournaments you want to play in including the Tour Championship and annual membership fee for a prepaid cost of $320 (no discount for 2 kids).

This is limited to the first 20 who apply.

 

 

Hold Harmless Agreement

We understand The North East Junior Golf Tour, its Director, employees, volunteers, golf course owners, or employees can not be held liable for any damage or injuries suffered while participating in or traveling to or from a North East Junior Golf Tour event.  We authorize use of and agree to hold harmless any publication used by the North East Junior Golf Tour.  We also agree to abide by all rules and policies set forth by the North East Junior Golf Tour.

 

__________________________________         Date____________

Signature of Member

 

__________________________________         Date____________

Signature of Parent/Guardian

 

 

Send all fees to:

North East Junior Golf Tour

P.O. Box 59

Hollidaysburg, PA 16648

www.nejgt.com