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 or visit our CONTACT page
DO NOT LEAVE THIS APPLICATION AT THE GOLF SHOP-PLEASE, SEND IN.