TGTJT SunTrust Cup Boys Multiplier
Open to members and non members
TYGA 4 multiplier Boys Top 1/3 of field up to 20
Entry fee required by Aug 8(call or email after Aug 8)
Event Registration Form
August 18-19
Bryan Park Players Course Brown Summit NC
Name __________________________________________ Birthdate
___/___/___ M/F ______
**( as you wish it to appear on scoreboard, etc.) **Playing Age is age as of
Oct. 16, 2007
Address _____________________________ School ___________________________
City _______________________ St _____ Zip _______ Grade in School ______
Handicap or Average Score ______
Local Newspaper Email address: __________________________________________________________
Graduation Year_____ and Yes_____ I give my permission for my child's name,
city, state, and graduation year to be released to the following associations
for purposes of national ranking and score posting: National Junior Golf Scoreboard,
www.juniorgolfscoreboard.com.
Or
No _______ I do not want my child's graduation year used when submitting scores
to Junior Golf Score Board.
Yes do ___ or No do not____ : release permission for my contact information
to be provided to interested Coaches and/or teaching professionals for recruiting
purposes (High school ages only).
______________________________________ ________
Parent or Guardian Signature and date
Email Address ___________________________________ Home
Ph ___________________
(please provide email address to be used for information )
Parent / Guardian________________ _________________ Work Ph____________________
ENTRY FEE
Required in Advance unless prior arrangement made with TGTJT
Includes Green fee, range balls
ENTRY FEE PAYABLE TO TGTJT
Ages 10-18 yr $ 120
* Playing for TYGA Points circle Yes or No
(Those 12-13 year olds playing for TYGA points will be playing
from the same tees that the 14-18 play, Please designate above)
Ages 9 under $120(that would like to play 18 holes both days)
9 unders wishing to play only one day please circle choice
Ages 9 under $75(will play 18 holes on Aug. 18)
Ages 9 under $65(will play 9 holes on Aug. 18)
****For non members please add $10 to entry fee****
$ _______ Fee Paid (non refundable after Aug 10)
Will accept Visa or MasterCard (please circle card type) * $3. processing fee
Account #: ______________________________________
Name as on Card: ______________________________________
Expiration Date: _______________________
Signature: __________________________________________
WAIVER:
I hereby authorize __________________________ to participate in the Triad Golf Today Junior Tour. I understand that the Triad Golf Today Junior Tour, Triad Golf Today magazine as sponsor, volunteers and participating facilities are not liable for accidents or injuries sustained while playing or participating in junior events. I agree to fully indemnify and hold harmless Triad Golf Today Junior Tour, Triad Golf Today magazine as sponsor, volunteers and participating facilities from damages sustained in any event. I FURTHER HEREBY GRANT AUTHORITY TO ADMINISTER FIRST AID OR MEDICAL TREATMENT AS REQUIRED TO THE ABOVE NAMED CHILD WITHOUT THREAT OF LEGAL ACTION.
PARENT/GUARDIAN _________________________________________ DATE ________
Please make checks payable to TGTJT and mail to: Triad Golf Today
Junior Tour, 5410 Mockingbird Rd. , Greensboro, NC 27406
**There will be a $25 returned check fee and a $10 declined charge card fee**
For further information, contact Tour Director/Owner Wendell Welch at (336)
674-1900 (telephone and fax)or Visit our web site at www.tgtjt.com and email
your questions to us at triadgolfjrtour@aol.com