20^th FATHER-SON CHAMPIONSHIP - JUNIOR DIVISION

Thursday AUGUST 13, 2009

INTERVALE COUNTRY CLUB – MANCHESTER, NH

Enclose entry fee of $50 payable to NHGA

Send payment to:

New Hampshire Golf Association, P.O. Box 486, Wolfeboro, NH 03894

Please print and complete every blank

NAME (FATHER)____________________________________________________

GHIN NUMBER (NOT HANDICAP INDEX) ____________________________

ADDRESS _______________________________________PHONE ___________________

CITY __________________________________STATE _______ ZIP __________________

EMAIL ADDRESS _________________________________________

CLUB ___________________________________________

NAME (SON) ____________________

DATE OF BIRTH ____________AGE (AS OF AUG. 13) ______

GHIN NUMBER (NOT HANDICAP INDEX) ____________________________

_____I WILL WANT A CART

_____I DO NOT WANT MY PICTURE ON THE WEB-SITE

I agree to the championship regulations on the pages of the application. I have read and understand the requirements of eligibility and for acceptance of this entry. I agree this entry is subject to approval or rejection at any time by the New Hampshire Golf Association at its discretion. All contestants must abide by the rules of the host club.

Signature of Applicant _______________________________________ Date ________________

Father/sonjunior