Srixon Central Illinois Junior Golf Tour
Application for 2009


Name___________________________________________School __________________________________________

Address ________________________________________E-mail Address ____________________________________

City, State and Zip ________________________________Phone Number _____________________________________

Age as of August 1, 2009___________________________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, 6/3-Golf Clinic @ Red Tail Run, Decatur- FREE-DO NOT PAY   Monday, 7/13-Scovill, Decatur  
Monday, 6/8-Charleston CC, Charleston   Wednesday, 7/15-Effingham CC, Effingham  
Wednesday, 6/10-Moweaqua GC, Moweaqua   Friday 7/24-Hickory Point, Decatur  
Tuesday, 6/16- Mattoon CC, Mattoon   Monday 7/27- Meadowview, Mattoon  
Thursday, 6/18- Stone's Throw, Newton   Thursday 7/30, Angus Links, Windsor  
Monday, 6/22- Quail Creek CC, Robinson      
Wednesday, 6/24- Ironhorse, Tuscola      
Tuesday, 6/30- Eagle Creek, Findlay  

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 at Red Tail Run, Decatur Aug. 3&4      (  ) $50.00 _____

Total

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