48th Father Son Championship – Senior and Intermediate Divisions

August 10, 2009

Rochester Country Club – Gonic, NH

Application for entry - $75

Enclose entry fee payable to NHGA and send payment to:

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

NAME (FATHER)____________________________________________________

GHIN NUMBER (NOT HANDICAP INDEX) ____________________________

ADDRESS _____________________________________PHONE _____________________

CITY __________________________________STATE _______ ZIP __________________

CLUB ___________________________________________

EMAIL ADDRESS _________________________________________

NAME (SON) ____________________ DATE OF BIRTH ____________AGE (AS OF AUG. 10) ______

GHIN NUMBER (NOT HANDICAP INDEX) ____________________________

___ I do not want my picture on the website

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/Son