Amateur Junior Golf Tour MEMBERSHIP APPLICATION
Please fill out the form completely, sign the statement below and mail to the AJGT office with your
membership fee. Incomplete applications will not be processed for membership!
Thank you for completing this application form and for joining the Amateur Junior Golf Tour.
Junior Information:
Name:
Street Address:
City ST ZIP Code:
Primary Phone:
E-Mail Address:
Sex: Male or Female:
Birthday
Graduation Year:
Freshman Year:
GPA:
SAT or ACT score:
Parents Information:
Mothers Name:
Mothers cell phone #:
Mothers email address:
Fathers Name:
Fathers cell phone #:
Fathers email address:
Membership:
Payment Method: $75 Membership Fee valid NOW thru December 31, 2010
Check # (Check must accompany application for membership to be processed! Make all checks to: AJGT)
Agreement and Signature
I, for the player and I, hereby release the Host Facilities, the Amateur Junior Golf Tour (AJGT), its officers, directors,
and employees from any and all liability for any event or consequence whatsoever in any way arising out of or
relating to member’s participation in an AJGT event or activity with the sole and singular exception of liability
arising out of bad faith or willful misconduct. In case of emergency during an AJGT event, I authorize a qualified
medical physician to take necessary measures in the treatment of this AJGT participant. It is understood that
neither the Host Facilities nor the AJGT are responsible for any lost or stolen items. Signatures verify both the
parent/guardian have read and understood the Association Rules as described in this application.
Juniors Signature Date
Adults Signature Date
Mail To: AJGT
Ballantyne One
15720 John Delaney Dr.
Suite 300
Charlotte, NC 28277
or
By using the submit button your membership application will be sent to our e-mail.
