--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