Hootie & The Blowfish Junior Golf Series

Greenville Chapter

Registration Form

Developmental

  Registration fee for all classes is $125

_____ June   9               Eagle Zone    9am -10am     

_____ June 16               Eagle Zone    9am- 10am                             

_____ June 23               Eagle Zone    9am- 10am

_____ June 30               Carolina Golf  9am-10:30am                       

_____ July   7                Carolina Golf  9am-10:30am

_____ July 14                Carolina Golf  9am-10:30am

_____ July 21                Carolina Golf  9am-10:30am           

_____ July 28                Carolina Golf  9am-10:30am

NAME__________________________________________DOB_____________ M F (circle)

ADDRESS__________________________________CITY_____________ZIP_____

HOME PHONE_____________AGE AS OF 6/01/10____________

PARENT NAME__________________________________EMPLOYER____________

WORK #________________CELL #_______________EMAIL____________________

I hereby declare that both the information given above is correct, and that I am a legal resident of South

Carolina. I will participate according to chapter rules and regulations. We do not hold the Greenville

Chapter or the SCJGA responsible for any injuries that may occur.

Player sign___________________________Parent sign_________________________

MAKE CHECK PAYABLE TO GVILLE SCJGA

Mail check and registration to

Nancy Daniel

1 Marlow Lane

Taylors, SC   29687