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PREMIER JUNIOR TOUR
E-mail: karen@premierjuniortour.com
Phone: 239.822.8590
PREMIER JUNIOR TOUR 2012 FREE MEMBERSHIP FORM
Player's Name (First  Last):
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
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 filling out your Free
Membership Form and clicking
the Submit button, you are now a
2012 Member and are able to
sign up for our upcoming events
under our Schedule page.
Welcome!