Arizona
District
Optimist
International



Arizona District Junior Golf
 

Official District Qualifying Tournament for the

 Optimist International Junior Golf Championships

ENTRY FORM

TOURNAMENT INFORMATION

District:                          Arizona                         

Tournament Date:           May 4, 2019

Location:                        Aguila Golf Course, Laveen AZ

Divisions Offered:            All

Entry Fee:                      $ 60

Contact Person:              Rod Salmi  602-315-8655

                                                                       

 

 

 

Qualifying Information: 

A limited number of golfers in each division will advance to the international championships provided they shoot the minimum qualifying score.  If a golfer who lives outside of the District qualifies, his/her participation will not eliminate a District resident from qualifying.  Optimist Districts and Clubs provide financial support for winners to attend the international championships. The amount of financial support provided and the age divisions covered varies by District. There is no guarantee that financial support will be provided to golfers who travel outside of their home District.  Please check with the District Chair for details.

 

Age Eligibility Information:

In order to be eligible, a golfer must not turn 19 on or before August 1, 2019.  Golfers must be enrolled in high school or must be a 2019 high school graduate to be eligible.  Any golfer who has attended college is no longer considered a “junior golfer” and is not eligible to participate. 

                                                                                                                                                                                   

cut and return this section

           

GOLFER INFORMATION (PLEASE TYPE OR PRINT LEGIBLY)

Golfer’s name:                                                                                                                     Birthday                                                                                          

Address:                                                                                                                               City, State, Zip:                                                                                                

Parent(s) Name(s):                                                                                                            Home Phone:                                                                                                  

Parent Work/Cell Phone:                                                                                                  E-mail:                                                                                                               

Division Applying For—determined by golfer's age on (Boys 10-11, 12-13 and Girls 10-12 - July 21, 2018), (Boys 14-15 and Girls 13-14 - July 26, 2018) and (Boys 16-18 and Girls 15-18 August 1, 2018).

 

Circle one:       

 

WAIVER STATEMENTS

I certify that I am an amateur player according to the rules of the USGA and that all of the information furnished is true to the best of my knowledge.

 

Golfer’s Signature:                                                                                                                                                                   Date:                                                            

 

In consideration of my child’s participation in the Optimist Junior Golf qualifying tournament, I hereby release the sponsor from any and all liability resulting from any accidents that might occur while he/she is participating.

 

Parent’s Signature:                                                                                                                                                                  Date:                                                            

 

RETURN INFORMATION

Registration deadline is 04/15/2019.   Please complete this form in its entirety, enclose a check for $ 60

 

Payable to : Arizona District of Optimists

 

Return to:                  Rod Salmi

                                    320 E Virginia Ave  Ste 100

                                    PHOENIX   AZ   85004