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