Srixon Central Illinois Junior Golf Tour
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 |
_____ |