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STAMFORD GOLF CLUB JUNIOR GOLF, INC (607) 652-7398 Jim Schouller, PGA (607) 652-2457 Gordie Faulkner, Executive Director 2011 JUNIOR GOLF APPLICATION
FIRST COME FIRST SERVED ONLY
Maximum is 70 Juniors.
Must be able to commit to 4 clinic times.
JUNIOR GOLFER NAME_________________________________________________ PARENT (GUARDIAN) NAME____________________________________________ ADDRESS______________________________________________________________ CITY, STATE, ZIP_______________________________________________________ TELEPHONE RESIDENCE________________________________________________ OFFICE____________________________________________________ CELL OR EMERGENCY______________________________________ E MAIL ADDRESS_______________________________________________________ DATE OF BIRTH_________________________________________________________ AGE BY JULY 1st ________________________________________________________ JUNIOR GOLF PROGRAM PARTICIPANT…..YES, NO or NEW_________________ RIGHT OR LEFT HANDED_______________DO YOU OWN CLUBS_____________
SHIRT SIZE: YOUTH (sm, med,
lg) ADULT (sm, med,
lg, xl)
Circle One FEE $20.00 FOR ENTIRE PROGRAM MUST BE PAID BY
APRIL 15, 2011 NO PARTICIPATION WITHOUT PAID FEE. PLEASE, ADVISE IF YOU HAVE TO PAY AFTER THE DEADLINE. Make payment to: Stamford Golf Club Jr Golf, Inc. Send to Gordie Faulkner, 33 Prospect St., Stamford, NY 12167. DO NOT LEAVE THIS APPLICATION AT THE GOLF SHOP-PLEASE, SEND IN. THIS APPL IS ALSO FOR THE ELITE 8. MUST ATTEND MIN 4 CLINICS. |