Coca-Cola Junior Tour

Membership Application 2012

(Please fill out every line possible, we must have date of birth and zip code)

Name:_____________________________________ M___ F____

Address:________________________________ Phone_________

City___________________ State______ Zip Code__________

Date of Birth (required)_____________ Age on June 1^st, 2012________

Home Course____________________________________________

Are you a previous Coca-Cola Junior Tour member? Y___ N___

Do you have a GHIN Handicap Number? Y___ N___ Ghin#____

Parent/Contact Name:_____________________________________

Emergency Phone:________________________________________

E-mail Address:________________________________________

Membership Fee is $35.00

Please list names and address (must have their address) of friends you think would like to be a member of the Coca-Cola Junior Tour and receive the Junior Tour packet. You may also make copies of this application and pass it around.
1.______________________________________________________________________
2.______________________________________________________________________
3.______________________________________________________________________
4.______________________________________________________________________
5.______________________________________________________________________

Remember, you must be a member to receive the Junior Tour packet containing the entry forms for all designated tournaments.

Coca-Cola Junior Tour
P.O. Box 381
Belden, MS 38826

--Tour Use Only--

Date Rec’d_______

Amt Rec’d_______

OFFICIAL ENTRY FORM

COCA-COLA JUNIOR TOUR 2012

Tournament Site:________________________________

Tournament Date:_______________________________

Entry Fee: $25.00

Player’s Name____________________________________

Address_________________________________________

City______________ State_____ Zip Code_________

Age as of June 1, 2012______________________________

Enclosed is $__________ for entry fee for site and date listed above.

I have read the requirements, rules, and regulations detailed in this site. I do hereby agree to

accept and abide by them.

_______________________________

Player’s Signature

All entries must be received THREE DAYS PRIOR to the event. Tee times will be posted on this site the day before the event. Players may also call the host site the day before or the Junior Tour after 3:00pm the day before for tee times.

Please send to:

Coca-Cola Junior Tour
P.O. Box 381
Belden, MS 38826

Jay Elmore Memorial Scholarship
Official Application

Please complete this application in its entirety.  Include any attachments necessary, including a copy of your most recent high school transcript, and a letter of recommendation from at least one high school principal, guidance counselor, teacher, or church leader.  All scholarship applicants must be seniors in high school.  Please return the application no later than January 1, 2011 to:

Coca-Cola Jr. Tour
P.O. Box 381
Belden, MS 38826

STUDENT INFORMATION
Name: ____________________________________  Date of Birth: _________________
Address: ________________________________________________________________        
________________________________________________________________
Phone: ________________________  Social Security #: __________________________

High School Information

High School Attended: ____________________________________________________
Address: ________________________________________________________________
________________________________________________________________
Latest Cumulative GPA: __________________  Rank/Class Size: __________________
ACT: __________  SAT: __________

College Information

College you hope to attend: _________________________________________________
Address: ________________________________________________________________
________________________________________________________________
Date entering as a full time student: __________________________________________
Probable Major: _________________________


EXTRA CURRICULAR ACTIVITIES:

Please list your extra curricular activities under the proper section.  You may attach an additional sheet if more space is needed.

School Related Club and Activities:










Interscholastic Athletics:










Non-school Related Clubs and Activities:










Honors and Awards: