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PREMIER JUNIOR TOUR
E-mail: karen@premierjuniortour.com
Phone: 239.822.8590
PREMIER JUNIOR TOUR 2012 COLLEGE ATHLETE MEMBERSHIP FORM
Player's Name (First  Last):
Player's name as you wish for it to appear
on hat and bag tag:
Address:
City, State, Zip, Country:
Birthday (mm/dd/yyyy):
Gender (Male or Female):
Specify 2011 Division:
Amateur Division (Men or Women up to age
25); Men 16-19, Men 13-15, Young Men
9-12, Boys 7-8*, Boys 6 & Under*; Women
14-19, Women 10-13,
Girls 8-9*, Girls 7 & Under*
* = 9 hole/day divisions
HS Grad Year (or grade you enter Fall 2011):
Parent(s)/Guardian(s) Name(s):
Home Phone #:
Cell Phone #'s:
Average Score (for 18 hole/day divisions):
Average Score (for 9 hole/day divisions):
Email is our primary method of contact
with you. Please provide all email
addresses you would like to have receive
weekly communications sent to.:
Important:  How did you hear about us?
Name of your newspaper:
Golf Club you belong to or play at:
Name of School you attend:
Hobbies:
EQUIPMENT:  Driver:
Woods:
Irons:
Wedges:
Putter:
Ball:
Glove:
I hereby agree that any application for membership or tournament application is subject to acceptance by Premier Junior Tour.  I also agree that I am applying for membership or any
tournament with the consent of a parent/guardian for all junior divisions.  I certify that I am qualified by the rules of eligibility of Premier Junior Tour and agree to abide by any rules of any
event, including the Premier Junior Tour Code of Conduct and Pace of Play system.  I understand and agree that membership is non-refundable once submitted. I understand and agree
that any tournament entry fee is non-refundable, and credits are as given as specified under Tour Rules.  I agree that Premier Junior Tour may use my name and likeness for publicity and
promotional purposes under NCAA and USGA guidelines. I acknowledge and agree that Premier Junior Tour photos, of which I may be a part, may be available for purchase by emailing
Premier Junior Tour. I hereby release the host facility, Premier Junior Tour, its officers, directors, employees, volunteers, any and all Sponsors, and all of each company's respective
officers, employees, volunteers and affiliates from any and all liability for any event or consequence arising out of or relating to members' participation in a Premier Junior Tour event with
the sole and singular exception of liability arising out of bad faith or willful misconduct.  I agree that there are certain risks inherent in the game of golf and accept personal and sole liability
for all such risks and damage incurred in conjunction with a Premier Junior Tour tournament or qualifier for the participant as well as any and all spectators. Examples include, but are not
limited to: any health-related or safety issues and damage to the golf course, private property, host hotel or other event-related venues.  In case of emergency during a Premier Junior Tour
tournament, I, as the parent and/or guardian of the tournament participant (and myself in the case of amateur division participants), authorize a qualified medical doctor or any emergency
care personnel to take all necessary measures in the treatment of the aforementioned tournament participant.  I understand Premier Junior Tour may update these terms and conditions
periodically and that the latest revision will be posted to www.premierjuniortour.com.          

By clicking submit below I/we (participant, parent/guardian) confirm I/we have read and agree to Premier Junior Tour "Tour Rules", Spectator Conduct and Rules, Player Code of Conduct,
and Pace Of Play.  I agree to keep apprised of my responsibilities by reviewing Tour Rules for any changes before a tournament.
- After submitting your membership
form, you may select the buy now
button below to purchase your "College
Athlete" Membership. Please make
sure to fill out the membership form
before you buy your membership. We
will not be able to process your
membership without your information.
Select Buy Now Button Below to Pay for
Your 2012 College Athlete Membership