Johnson Junior Golf Tour
	Tournament Application
Name of tournament entering:	_____________________________________
Date:_____________________	Location:______________________________	Entry Fee:______________
Name:__________________________________________________________		Age:______Grade:_______
Address:________________________________________________________		Birthday:_______________
City:______________________	Zip Code:_____________________________	Phone:_________________
List any health problems:____________________________________________		Male:_____   Female:_____
Home Course:____________________________________________________		Avg. score or HDCP:_____
SCORE KEEPERS NEEDED:	Yes:___  No:___    Shirt Size: Adult_________	Youth_________
I HEARBY CERTIFY THAT THE ABOVE IS TRUE AND GRANTED PERMISSION FOR THE APPLICANT TO PARTICIPATE IN THE EVENT.
Parent/Guardian:___________________________________________   Carpooling with:		______________________
Team Play Partner:__________________________________________   Age:________		Phone: (      ) ___________
Make Check Payable To:	Russ Johnson
Mail Entry Form & Fee To:	10473 Mapledale St
	Bellflower, CA 90706