GSA Junior Golf Tour

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GOLFER INFORMATION

* First Name:

* Last Name:

* Gender:

Male

Female

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

Golfer's Email:

* Birthdate:

* Age as of Tournament Date:

* Grade as of 2016-17 School Year:

* Graduation Year:

Home Course:

Handicap/Avg. Score:

GHIN#:

TShirt Size:

PARENT/GUARDIAN INFORMATION

* First Name:

* Last Name:

* Phone:

Alt. Phone:

* EMail:

(The email address provided will be used for all tournament correspondence including registration status, tee time and results.)

MEDICAL/EMERGENCY CONTACT INFORMATION

(In case of an emergency, the parent/guardian listed above will always be contacted first. Please indicate someone other than the parent/guardian.)

* Emergency Contact:

* Phone:

* Relationship to Player:

Comments:

I affirm that the information supplied on this entry form is true and correct.

* Answer:

Agree

Disagree

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form

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