2012 harold kirk junior championship by yH3oXX

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									                2012 HAROLD KIRK
            JUNIOR GOLF TOURNAMENT
                   TUESDAY, JULY 17th, 2012
                  SCHIFFERDECKER GOLF COURSE
                        JOPLIN, MISSOURI
                       Open to Golfers Ages 8—18
                                  ENTRY FORM
Name________________________________ Age____________

Address______________________________________________

Phone____________________ E-Mail_____________________

Male____        Female_____                     Club__________________

Average Score 18 holes_______ Average Score 9 holes_______

In Case of Emergency, Notify____________________________

                            Age Groups, Boys and Girls
                        16-18            18 holes
                        13-15            18 holes
                        10-12            9 holes (with scorers)
                        8-9              7 holes (with scorers)
                        Awards given for 3 places in each flight

                     ENTRY DEADLINE: JULY 13TH
   $15.00 ENTRY INCLUDES TOURNAMENT PLAY, LUNCH AND AWARDS.
     PLEASE MAKE CHECK PAYABLE TO JOPLIN GOLF FOUNDATION
      506 S. SCHIFFERDECKER, JOPLIN, MO 64804 (Phone 417-624-3533)
         TEE TIMES WILL BE PUBLISHED IN JOPLIN GLOBE 7/15/11
     DRESS CODE: NO TANK TOPS, HALTER TOPS, OR CUTOFF JEANS

My mother___father___will___will not___ volunteer to score for one group of Junior
Golfers if applicable. In consideration of the privilege of my child’s participation in the
Harold Kirk Junior Golf Tournament, I hereby release the Joplin Golf Foundation and
Schifferdecker Golf Course from any and all liability resulting from any accident that
might occur while he or she is participating.

Parent’s Signature:_____________________________________________

								
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