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CENTRAL OREGON JUNIOR GOLF ASSOCIATION
2008 APPLICATION FORM
PLEASE PRINT OR TYPE INFORMATION. PLEASE SUBMIT BY MAY 15, 2008
ANNUAL FEE IS $35 FOR FIRST FAMILY MEMBER, $30 FOR EACH ADDITIONAL MEMBER
(Registration fee for 6 to 8 year olds is $15)
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Player's Name ________________________ |
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Player's Address: Street (PO) _____________________________ |
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City ________________ |
State ________ |
Zip __________ |
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Player's Parents Names |
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Mom: _________________ |
Dad __________________ |
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Player Data |
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Player's Age _______ |
Date of Birth ________ |
M / F (Circle) |
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Contact Information |
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Home Phone ___________ |
Emrgcy No.___________ |
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E-Mail: _________________ |
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Shirt Size: (circle) Youth 8-10, Y 10-12, Y 12-14, Y 14-16, Adult S, A-M, A-L, A-XL, A-XXL
Player's Experience: (COJGA, Varsity etc.) and number of years. _______________________
Names of Brothers/Sisters who are COJGA members. ______________________________
My Parent's and I agree to follow the rules, regulations and prescribed etiquette of COJGA at all times when participating in and COJGA event.
Player's Signature _______________________________ Date ______________
Parent's Signature _______________________________ Date ______________
Enclosed is:
Registration Fee $ ______ plus Additional Donation $________ Total enclosed $________
Copy, Complete, and Mail to: COJGA, PO Box 6975, Bend. OR 97708
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