Stephen Earll Memorial Junior Golf Classic
Registration Form
Qualifier-July 3, 2012
Argyle Country Club

Eligibility:  Boys and Girls 13-18 are eligible to participate, have not reached their 19th birthday by August 10, 2012, and have not begun college.
Amateur Status: Each participant must be familiar with the USGA Rules of Amateur Status and have conformed to these rules in every respect.  Participants must understand the Championship and Qualifying event regulations and agree
that this entry is subject to the approval or rejection at any time by the Trusted Choice® Big “I” Officials at their discretion.  Participants must further understand the use of alcohol, drugs or misconduct is a violation of the Code of Conduct and will result in disqualification.

2012 Trusted Choice® Big I National Championship Schedule
Sunday Aug 5 Registration, Informal Practice Round
Monday Aug 6 Registration, Practice Round & Welcome Dinner
Tuesday Aug 7 Stroke Play 18-holes
Wednesday August 8 Stroke Play 18-holes -- Cut to 54 Males and 27 Females (and ties); Cut Party
Thursday August 9 Stroke Play 18-holes -- Long Drive Championship
Friday August 10-Final Round-18 holes
 

Player's NameDate of Birth:

Home Address:

City:State:Zip:

Parent or Guardian's Name

I understand the Eligibility and Amateur Status regulations as stated above:

Players SignatureDate:

APPROVAL AND CONSENT BY PARENT OR GUARDIAN IN CASE OF EMERGENCY:

As a parent or guardian of the applicant, I hereby certify the facts as stated in this entry form and attest I am familiar with his/her plans to participate and he/she does so with my approval.  I further certify that, in the event emergency medical care needs to be administered to the above named applicant and the below mentioned person cannot be contacted, the required parental consent may be given by an authorized member of Tournament Committee.  I, the undersigned, do hereby release the Tournament Committee, their boards of directors, staff, officers, volunteers, as well as any agents, and officials from any and all liability, accidents, or injuries sustained by the applicant or parent/guardian in connection with The Trusted Choice® Big I National Championship, Local and State Qualifying Tournaments.

Signature of Parent or Guardian:Date:

In the event of an emergency contact:

NamePhone:

NamePhone:

You may pay online, however, this form must be faxed to 410-766-0993 or
mailed to :  2408 Peppermill Drive, Suite A, Glen Burnie, Maryland  21061.  Your child will be unable to play unless we are in receipt of this form.