FAIRWAYS JUNIOR GOLF REGISTRATION 2010

NAME__________________________________ Your Age:_____________ (as of 6/23/09)

BIRTHDATE _________Month/Day/Year SORRY ALL FILLED

ADDRESS __________________________________________________________

(STREET) (CITY) (ST) (ZIP)

PHONE # ______________________

EMAIL _____________________________ (IMPORTANT TO RECIEVE CORRESPONDENCE)

Check one:

_____ INSTRUCTIONAL LEAGUE: (AGES 7 TO 16) sorry..instructional league filled for 2010 season

ENCLOSE CHECK FOR $250.00 (EACH ADDITONAL $200.00)

SHIRT SIZE:

YOUTH - MED_____ LARGE_____ XL_____

ADULT - SMALL _____ MED _____ LARGE _____ XL _____

 

Are you Right Handed_______ or Left Handed_______

GLOVE SIZE:

YOUTH - SMALL _____ MED _____ LARGE _____ XL _____

ADULT - SMALL _____ MED _____ LARGE _____ XL _____

 

 

 

______ COMPETITIVE LEAGUE: (AGES 14 TO 18 OR ADVANCED GOLFER)

ENCLOSE CHECK FOR $25.00 SORRY ALL FILLED

 

Please print out, fill out and return with Membership Fee payable to:

Fairways Golf & Country Club

SEND TO:

Belinda Cush

Fairways Golf & Country Club

750 Country Club Lane

Warrington, PA 18976