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CATSKILL MOUNTAINS JUNIOR GOLF, INC.

 

 

2019 JUNIOR GOLF APPLICATION

 

FIRST COME FIRST SERVED ONLY

Maximum is 70 Juniors at each Facility.   Must be able to commit to 3 clinic days.

 

JUNIOR GOLFER NAME_________________________________________________

 

PARENT (GUARDIAN) NAME____________________________________________

 

ADDRESS______________________________________________________________

 

CITY, STATE, ZIP_______________________________________________________

 

TELEPHONE RESIDENCE________________________________________________

 

OFFICE____________________________________________________

 

CELL OR EMERGENCY______________________________________

 

E MAIL ADDRESS_______________________________________________________

 

DATE OF BIRTH_____________________AGE BY JULY 1st ____________________

 

PAST JUNIOR GOLF PARTICIPANT ….YES or NO______WHERE______________

 

DESCRIBE EXPERIENCE_________________________________________________

 

FACILITY PREFERENCE: Ouleout Creek GC_______ or Shephard Hills GC_______

 

RT OR LT HANDED________DO YOU OWN CLUBS__Y_N___Height__________”

 

SHIRT SIZE: YOUTH (sm,  med,  lg) ADULT (sm,  med,  lg,  xl)  Circle One

 

FEE $40.00 FOR ENTIRE PROGRAM,  NO PARTICIPATION WITHOUT PAID FEE.

Make payment to: Catskill Mountains Junior Golf, Inc.

Send payment and printed application to:  Gordie Faulkner, PGA, 33 Prospect Street, Stamford, NY 12167

FMI: email cmjg2013@yahoo.com or visit our CONTACT page

DO NOT LEAVE THIS APPLICATION AT THE GOLF SHOP-PLEASE, SEND IN.