KO Junior Golf Tour Registration
2010 Membership Fee = $75
(Register with this form prior to April 1st, 2010 and pay only $50!)
Name_________________________________________________________________________________________________
Parents Name________________________________________________________________________________________
Address_________________________________________________City_____________________Zip_________________
Home Phone__________________________________ Cell Phone_____________________________________________
Email_________________________________________________________________ Birthdate______________________
Shirt Size YS YM YL AS AM AL AXL
We only accept checks for tour membership and entry fees. Please include your check for the amount of $75 with this registration form. Please print this form, Make all checks payable to: KO JUNIOR GOLF TOUR and mail to:
KO Junior Golf Tour
P.O. Box 5112
Limerick, PA 19468
For Tour Use Only: Amount___________Date Paid________________Check #__________________
Membership and
Tournament Fees
Yearly Membership Fee: $75
Individual Tournament Fees Per Division:
6 Hole Division: $10
Non-Member: $30
9 Hole Division: $15
Non-Member: $35
18 Hole Division: $20
Non-Member: $40
I, for myself and the player hereby release the host facility, the KO Junior Golf Tour, its officers, directors, and employees from any and all liability for any event or consequence whatsoever in any way arising out of or relating to member's participation in a KO Tour event with the sole and singular exception of liability arising out of bad faith or willful misconduct. I understand and support the KO Junior Golf Tour's Code of Conduct.
In case of emergency during a KO Junior Golf Tour event, I authorize a qualified medical doctor to take all necessary measures in the treatment of the aforementioned event participant. Parent/Guardian grants the KO Junior Golf Tour permission to utilize member's image, likeness, actions & statements in any live or recorded audio, video, electronic or photographic display or other transmission or reproduction thereof made of or at a tournament/event without further authorization or compensation.
Parent Signature______________________________________Date_____________