SOUTHWEST MISSOURI JUNIOR GOLF ASSOCIATION
2409 South Scenic		Springfield, MO  65807	
(417) 891 1639


APPLICATION
Yearly Fee $35.00


Name_________________________________Birthdate_________________
Age__________M/F circle one  
Important----  The age your child will be on 9/01 of this year is the age class they should compete in all season.
Address_________________________________________Zip____________
Phone_____________________Emergency Phone______________________ Email__________________________________________________________
Parent's Name___________________________________________________


At what course does your child normally play golf? _______________________


How many times per year does your child play golf? (Circle One)
1-5		6-10		11-20		20 or more



Parent/Guardian Signature 

_____________________________________________________



Please return this application with payment of $35.00 to:                        
S.M.J.G.A.    2409 S. Scenic Springfield, Mo.     65807