2012 Registration & Application
Personal Information
First Name
Last Name
E-mail Address
Street Address
City
State
Zip Code
Phone Number
Age as June 1, 2012
Anticipated
Year of High School Graduation
School attending as of
August 2012
Parents Information
Parent/Guardian Name
(if different than above)
Street Address
City
State
Zip Code
Phone Number
Contact person in
case of Emergency
Phone Number
Golf Information
Years of Experience
Average 18 Hole Score
Best Score for 18 Holes
Worst Score for 18 Holes
Handicap (if available)
Tournaments played in
the past year
Home Course
Optional Information:
(will help us send updates to your coach & community)
J.H. / High School Team
Coach's Name
Coach's Email Address
Local Newspaper Sports Email
EVENT SELECTION:
Please put players name in the MEMO Section of your check
*Make checks payable to Central Ohio Golf Academy
Send checks to:
Central Ohio Golf Academy
c/o Junior Tour
7342 Holderman St
Lewis Center, OH 43035
Division Selection:
PAYMENT OPTIONS - SELECT ONE
These tournaments are Non-Refundable
*If you were referred by a current COGA Tournament player please list their full name:
When you hit either submit registration button, it will be sent electronically to the COGA Staff.
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Liability Waiver & Release form
I hereby release the Central Ohio Golf Academy from any and all liability from any and all accidents that might occur during their participation in the event. I am voluntarily participating in these activities with the knowledge of the danger involved, and agree to assume any and all risks of bodily injury, death, or property damage, whether those risks are known or unknown.
