TGTJT at River Ridge GC
2009 AAU Qualifier
Event Application
Nov 15-16, 2008
River Ridge GC -Raleigh, North Carolina

First _____________________Middle_________ Last Name______________________________

Email ________________________________________ Home Ph _______________

Address _________________________________City _______________St _______ Zip ________

Birth date ___/___/___ Gender M ___ F ____ Grade in School ______ Grad Yr ______
Playing division to be determined by Oct. 16, 2008 Handicap or Average Score _______

Parents/Guardian ___________________________________ Work Ph____________ Cell Phone____________

Local Newspaper Email address: ________________________________________________
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.
_____________________________ ______
Parent or Guardian Signature date

Entry Fees:
For 36 hole event - Players 18 holes each day - for All Ages 10-18 and 9 under Advanced
Member Fee $100______ Non Member Fee $115 ______
Sunday 18 holes for 9 Under Groups
Member Fee $60______ Non Member Fee $75 ______

Make checks payable to: TGTJT Mail to: TGTJT 5410 Mockingbird Rd. Greensboro NC 27406

Will accept Visa or MasterCard (please circle card type)*$3. Processing fee in addition to entry fee
Account #: _________________________________ Code _______
Name as on Card: _____________________________________ Expiration Date: __________________
Signature: _________________________________
**There will be a $25 returned check fee and a $10 declined charge card fee**
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 ___________

Tournament Information:
-Range Balls included
-Practice rounds: available arrange through course indicating you are a registered TGTJT player
-Spectator carts at course discretion.
-No jeans or denim allowed and no T-shirts, Soft spikes only

Contact information:
Wendell Welch, State AAU Director of Golf - cell (336) 451-0655 office (336) 674-1900
Email: triadgolfjrtour@aol.com Web site: www.tgtjt.com