Entry form for 2009 JAGA Four-Ball (October)

Name         Age
No. & Street    
City & State  Zip
Phone number Email
Hdcp Index    Home Club

Name        Age 
No. & Street
City & State  Zip
Phone Number Email
Hdcp Index    Home Club

Oldest partner wishes to play from shorter
tees based on his age.   Check here

REG. DIVISION - BLUE  TEES 6440 YARDS (youngest partner age 54 or less)

SENIOR DIVISION –WHITE TEES 5947 YARDS (youngest partner age 55+)

Team will be assigned to flight determined by age of younger player, unless a Division of longer yardage is selected above

JAGA SCHOLARSHIP CONTRIBUTION AMOUNT: $

$85 ENTRY FEE: CASH/CHECK PER PLAYER

MAKE CHECK PAYABLE TO: JACKSONVILLE AREA GOLF ASSOCIATION

Verify your entries above then print this form.  Send it and your check to:

LEE CROWE
P.O. BOX 37484
JACKSONVILLE, FL 32236