Srixon Central Illinois Junior Golf Tour
Name___________________________________________School
__________________________________________
Address ________________________________________E-mail Address ____________________________________
City, State and Zip ________________________________Phone Number _____________________________________
Age as of August 1, 2010___________________________Date of Birth _______________________________________
Home golf course _________________________________Average 18 hole score _______________________________
Parent/Guardian __________________________________Work Phone _______________________________________
Health Insurance Company
______________________________________________________________________
Age Division: Please Circle One
T-Shirt
Size: Please Circle One
| Girls 12-13 14-15 16-18 College |
Boys 12-13 14-15 16-18 College |
MS
MM ML MXL MXXL
|
Tournaments I wish to enter: Place an X in the box following the event.
| Wednesday, 6/2-Golf Clinic @ Red Tail Run, Decatur- FREE-DO NOT PAY | Thursday, 7/1-Scovill GC, Decatur | ||
| Monday, 6/7-Charleston CC, Charleston | Tuesday, 7/13-Effingham CC, Effingham | ||
| Wednesday, 6/9-Moweaqua GC, Moweaqua | Thursday 7/15-Hickory Point, Decatur | ||
| Tuesday, 6/15- Mattoon CC, Mattoon | Friday 7/23- Angus Links GC, Windsor | ||
| Thursday, 6/17- The Den @ Fox Creek, Bloomington | Monday, 7/26- Meadowview GC, Mattoon | ||
| Monday, 6/21- Quail Creek CC, Robinson | Wednesday, 6/23-Golf Clinic @ The Den @ Fox Creek, Bloomington- FREE TO CIJGT MEMBERS 1:30 p.m. | ||
| Thursday, 6/24- Prarie Vista GC, Bloomington | Wednesday, 7/14- Golf Clinic @ Hickory Point, Decatur, FREE TO CIJGT MEMBERS | ||
| Monday, 6/28- Ironhorse GC, Tuscola |
All applications should be mailed and checks
or money orders made payable to:
CIJGT
P. O. Box 101
Moweaqua, Illinois 62550
| Tour Fee | $50.00 |
| Entry Fee ($30.00 /per event for_____events) | _____ |
| Tour Championship @ Red Tail Run, Decatur, July 29&30 ( ) $50.00 | _____ |
|
Total |
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