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Name
_________________________________________________________________________
Male______
Female_____ Birth Date ____________________________ Age________________
Address________________________________________________________________________
City________________________________ St_________ Zip___________
Phone___________
Email_____________________________________ Home
Course_________________________
Division_________ Membership _________
Please circle: Check /Money Order Cost: $75.00
That I/We in consideration for the minor to enroll and participate in
Greater Orlando Jr. Golf Foundation for
the purpose of engaging in various golf related activities, do hereby
covenant with, Greater Orlando Jr. Golf Foundation that releasers will
not individually or as legal guardian of the Minor, sue or bring any
legal action
or proceeding against Greater Orlando Jr. Golf Foundation, the
instructors, staff, sponsors, or any of their
affiliates or the legal representatives or damage that the minor may
sustain by virtue of or arising out the
Minors activities or the minors presence at Greater Orlando Jr. Golf
Foundation.
__________________________________________
_____________________________
Signature
Date
__________________________________________
______________________________
Relationship to Player Daytime phone / Mobile
phone/pager
18 Hole Divisions:
A:
16 -18 Boys B:
13-15 Boys C:14-18
Girls D:
10-12 Boys
9
Hole Divisions:
E: 7-9 Boys F: 9-13 Girls
Mail application to:
Greater Orlando Jr. Golf Tour
5703 Red Bug Lake Rd. #313 Winter
Springs, Fl 32708
Visa _____
Master Card _____ Discover _____ American Express _____
Card
#`______________________________________________exp. date __________
Signature
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