44th BOYS JUNIOR PGA CHAMPIONSHIP ENTRY APPLICATION

Transcription

1 44th BOYS JUNIOR PGA CHAMPIONSHIP ENTRY APPLICATION BOYS JUNIOR PGA CONDITIONS OF ENTRY INFORMATION A stroke play competition based on the lowest gross score. Any Junior who wishes to advance to the Boys Junior PGA Championship must play from the same tees as the oldest age division. OFFICIAL ENTRY APPLICATION Participants must qualify in the PGA Section in which they reside. Entry must be filed on an official entry application, or on-line for those sections which have on-line entry available. PGA SECTION CHAMPIONS Completed entry applicaitions with the applicable entry fee, must be received by the PGA Section contact as noted on this application prior to the entry deadline. Please make your check payable to and mail it to your local PGA Section office. The Champion from each of the 41 PGA Sections will earn an exemption into the Boys Junior PGA Championship. The Section Champion is identified based on the lowest gross score in the oldest age division. CHAMPIONSHIP INFORMATION 144 Boys who are 18 and under through the final round of the Boys Junior PGA Championship on August 2, Players are not allowed to have caddies at any stage of the Championship, except in practice rounds. Application for entry is subject to acceptance by the PGA Section and the PGA of America, the administrator of the Championship. Applicant agrees that, in the event of acceptance, he may be rejected at any time and stage of the Championship. PGA reserves the right to limit entry, adjust dates, format and other details to fit conditions prevailing at the time of the event. Log on to JuniorPGAChampionship.com for more information.

2 th 44 BOYS JUNIOR PGA CHAMPIONSHIP ENTRY APPLICATION Entries must be filed on this OFFICIAL ENTRY APPLICATION and received by the respective PGA Section prior to the entry deadline. Please make checks payable to the appropriate PGA SECTION. Please do not mail entries to the PGA of America Headquarters. No phone call entries will be accepted. Photocopied OFFICIAL ENTRY APPLICATIONS are acceptable. (PLEASE PRINT LEGIBLY). PGA Section Championship Site & Date Qualifier Site & Date (if applicable) Applicant s Name Address (Street or Box Number) (City) (State) (Zip Code) Contact Phone No. Mobile Phone Home Phone Address Parent or Guardian Address Age as of 8/2/2019 Birth Date High School Graduation Year Handicap Index I WILL BE PLAYING IN THE FOLLOWING AGE DIVISION: *Only participants who compete in the oldest age divisions will be eligible to qualify for the National Championship. Any junior who wishes to qualify for the National Championship must play from the same tees as the oldest age division and pay the same entry fees. ENTRY FEE PAYMENT Check Enclosed / Check Number Signature Print Name I wish to enter the 2019 PGA Section Junior PGA Championship event as noted on this application. The National Championship (if I qualifiy) will be held at Keney Park Golf Course in Hartford, Connecticut from July 30-August 2, The applicant and the parent/guardian certify: 1) that the applicant is an amateur player, as defined by the USGA; 2) that the conditions of entry have been read and understood and approval has been granted in submitting his/her entry; and 3) that the information given in this application is true to the best of his knowledge. In consideration of the applicant s participation in The PGA Section Championships, Qualifiers and The Junior PGA Championship: 1) the applicant and the parent/guardian hereby release The PGA of America, The PGA Section, PGA Tournament Corporation, Inc., Keney Park Golf Course, host sites of PGA Section events, sponsors and all of each company s respective officers, directors, employees, agents, subsidaries and affiliates from any and all liability associated either with acts or omissions of such parties, or with accidents or injuries sustained by the applicant or parent/guardian in connection with the tournament; 2) the applicant grants and assigns his individual media/photo rights respecting participation in the competition, without exception to the sponsors, PGA of America, PGA Tournament Corporation, Inc., and the PGA Section. Applicant Information will be used for internal purposes only in conjunction with PGA of America activites and programs. Additionally, The PGA of America will provide event sponsors of the Junior PGA Championship with the names and mailing addresses of its participants. It is a condition of participating in this event that the competitor is not permitted to use a motorized golf car during the event competition. Notwithstanding the foregoing, The PGA of America is committed to conducting golf competitions within the parameters of the Americans With Disabilities Act. Players who request relief under the Americans With Disabilities Act and seek a reasonable accommodation for thier disability by the use of a motorized golf car during competition shall be required to submit their request in writing to the Special Board on or before the entry deadline date for review and determination. The Special Board will schedule a hearing to allow the applicant the ability to present evidence to support the applicant s position. (Applicant Signature) (Date) (Parent/Guardian Signature) (Date)

3 th 44 BOYS JUNIOR PGA CHAMPIONSHIP MEDICAL AUTHORIZATION 2019 Junior PGA Championship Section Events. Please fax or this completed form to your section or bring to the event site according to your section s instructions. Contestant Name Date of BIrth THIS FORM MUST BE COMPLETED AND NOTARIZED EVEN IF THE CONTESTANT IS ACCOMPANIED BY HIS PARENT(S)/GUARDIAN. To Whom it may concern: This will introduce my child, who is in the care of the PGA Section s Tournament Director, during the week of, (PGA Section) (Event Dates) Should my child need medical attention during this time, the PGA Section s (PGA Section) Tournament Director or another person designated by him, has my permission to take the necessary steps to ensure his health, well-being and/or other measures that he may deem necessary and appropriate. Should you have any questions, please call me at: Home: Cell: Business: NOTARY Parent or Guardian - PLEASE PRINT NAME (Seal) Parent or Guardian - Signature Signature Date Date My Commission Expires

4 2019 JUNIOR PGA CHAMPIONSHIP SECTION QUALIFIER ENTRY INFORMATION ALABAMA - NW FLORIDA June 12-13, 2019 TimberCreek Golf Club Entry Deadline: June 5 Entry Fee: $70 alabamanwflpga.com PLEASE DIRECT QUESTIONS TO: Wade Dockery, Alabama-NW Florida PGA T: (205) E: wdockery@pgahq.com ALOHA June 4-5, 2019 Waikoloa Kings Course Entry Deadline: May 31 aspga.com PLEASE DIRECT ALL QUESTIONS TO: Wesley Wailehua, Aloha PGA T: (808) E: wwailehua@pgahq.com CAROLINAS June 18-19, 2019 The Club at Irish Creek Entry Deadline: April 18 carolinas.pga.com/junior-tournaments/ Patrick O'Reilly, Carolinas PGA T: (336) E: poreilly@pgahq.com CENTRAL NEW YORK June 22-23, 2019 Radisson Greens Golf Club Entry Fees: $60 (for CNYPGA Junior Tour Members) $70 (for Non CNYPGA Junior Tour Members) cny.pga.com/juniortour Brianna Sovring, Central New York PGA T: (315) E: bsovring@pgahq.com COLORADO June 10-12, 2019 Eisenhower Golf Course QUALIFIER #1 May 30 Venue: Riverdale Golf Club Entry Deadline: May 23 QUALIFIER #2 June 6 Venue: South Suburban Golf Club Entry Deadline: May 23 Section Qualifier Entry Fee: $50 Scott Minta, Colorado PGA T: (303) E: Sminta@pgahq.com CONNECTICUT The Course at Yale Entry Deadline: : Tim Paragone, Connecticut PGA T: (860) tparagone@pgahq.com GATEWAY Entry Deadline: REGISTER gatewaypga.org/jrgolf Nolan Toovey, Gateway PGA T: (636) ntoovey@pgahq.com GEORGIA une 10-12, 2019 The Club at Savannah Harbor, Savannah, GA Entry Deadline: Friday, June 1 REGISTER georgiapga.com or Michael Rakowski, Georgia PGA T: (678) mrakowski@pgahq.com GULF STATES June 24-25, 2019 Canebrake Country Club Entry Deadline: June 21 Entry Fee: $165 gspga.com Andrew Lewis, Gulf States PGA T: (504) E: alewis@pgahq.com ILLINOIS June 10, 2019 The Hawk Country Club Entry Deadline: June 2 REGISTER ON-LINE ipga.com Brad Slocum, IJGA T: (630) E: bslocum@ijga.org INDIANA June 26-27, 2019 Rock Hollow Golf Club Entry Fees: $75 (Members) $100 (Non-Members) indianagolf.org/juniors Zach Hale, Indiana PGA T: (317) E: zhale@indianagolf.org IOWA July 11-12, 2019 Gates Park Golf Course QUALIFIER #1 June 8 Venue: Timberline Golf Club QUALIFIER #2 June 10 Venue: Westwood Golf Club QUALIFIER #3 June 17 Venue: Cooper Creek Golf Club QUALIFIER #4 June 20 Venue: South Hills Golf Club QUALIFIER #5 June 23 Venue: Bos Landen Golf CLub QUALIFIER #6 July 1 Venue: Ellis Park Golf Club QUALIFIER #7 July 2 Venue: Glynns Creek Golf Club Qualifier Entry Deadline: June 5 Section Qualifier Entry Fee: $50 No additional fee for those that advance to Section Championship REGISTRATION ON-LINE iowapga.com Tess Goudy, Iowa PGA T: (319) E: tgoudy@pgahq.com KENTUCKY June 3-4, 2019 Gibson Bay Golf Club Entry Deadline: May 29 Entry Fees: $110 (for KY PGA Junior Tour Members) $150 (for Non KY PGA Junior Tour Members) Ray Moehlman, Kentucky PGA T: (502) I E: rmoehlman@kygolf.org METROPOLITAN Entry Deadline: Entry Fee: Daniel Frankel, Metropolitan PGA T: (914) E: dfrankel@pgahq.com MICHIGAN June 27-28, 2019 Bedford Valley Golf Club Entry Deadline: TJune 20 michiganpgagolf.com PLEASE DIRECT ALL QUESTIONS TO: Chelsea Guoynes, Michigan PGA T: (517) cguoynes@michiganpga.com MIDDLE ATLANTIC July 1-2, 2019 Mount Vernon Country Club Entry Deadline: June 26 Entry Fees: $160 (Members of the MAPGA) QUALIFIER #1 June 2 Venue: PB Dye Golf Club Entry Deadline: May 27 QUALIFIER #2 June 8 Venue: Providence Golf Club Entry Deadline: June 1 QUALIFIER #3 June 23 Venue: Hobbits Glen Golf Club Entry Deadline: June 15 QUALIFIER #4: June 26 Venue: Reston National Golf Club Entry Deadline: June 18 mapgajuniorgolf.com PLEASE DIRECT ALL QUESTIONS TO: Will Martindale, Middle Atlantic PGA T: (540) E: wmartindale@pgahq.com

5 2019 JUNIOR PGA CHAMPIONSHIP SECTION QUALIFIER ENTRY INFORMATION MIDWEST June 19, 2019 Heritage Park Golf Course Entry Deadline: June 12 midwest.pga.com Rick Schultz, Midwest Section PGA T: (816) E: MINNESOTA July 10-11, 2019 Ruttgers Bay Lake Lodge Entry Fees: $50 Juniors wishing to compete for the Minnesota Junior PGA Championship, ages 13-18, may only register for one (1) 18-hole qualifying event. QUALIFIER #1 June 13 Venue: Prestwick Golf Club QUALIFIER #2 June 19 Venue: Rose Creek Golf Club Entry Deadline: June 12 QUALIFIER #3 June 20 Venue: Elmwood Golf Club Entry Deadline: June 13 QUALIFIER #4 June 24 Venue: Burl Oaks Golf Club QUALIFIER #5 June 25 Venue: Ridges at Sand Creek Entry Deadline: June 18 QUALIFIER #6 June 25 Venue: The Preserve Entry Deadline: June 18 QUALIFIER #7 June 26 Venue: Valleywood Golf Club Qualifier Entry Fees: $65 (Members) $75 (Non-Members) minnesotajuniorgolf.com Bob Bush, Minnesota PGA T: (763) E: NEBRASKA June 6-7, 2019 Indian Trails Country Club Entry Fee: $85 nebraskapga.com Sean O Neill, Nebraska PGA T: (402) E: soneill@pgahq.com NEW ENGLAND June 25-26, 2019 Shaker Hills Golf Club Entry Deadline: June 20 Entry Fee: $145 QUALIFIER #1 April 13 Venue: North Kingstown GC Entry Deadline: April 8 QUALIFIER #2 April 20 Venue: Highfields G & CC Entry Deadline: April 15 QUALIFIER #3 June 1 Venue: Toddy Brook GC Entry Deadline: May 27 QUALIFIER #4 June 9 Venue: Bretwood GC Entry Deadline: June 4 QUALIFIER #5 June 20 Venue: Bass River GC Entry Deadline: June 14 Section Qualifier Entry Fee: $50/$65 nepgajuniortour.com Jacy Settles, New England PGA T: (508) x 204 E:jsettles@pgahq.com NEW JERSEY June 24-25, 2019 Rossmoor Golf Club REGISTER newjersey.pga.com/juniorgolf/ Greg Zohovetz, New Jersey PGA T: (732) E: gzohovetz@pgahq.com NORTH FLORIDA June 18-19, 2019 Reunion Resort Entry Deadline: June 14 $140 (Exemptions) QUALIFIER #1 June 3 Venue: The Oaks Club QUALIFIER #2 June 6 Venue: Hidden Hills Golf Club QUALIFIER #3 June 10 Venue: TPC Tampa Bay QUALIFIER #4 June 13 Veneu: Rio Pinar nflapgajr.bluegolf.com Mike Keck, North Florida PGA T: (386) E: kmcdonald@pgahq.com NORTHEASTERN NY FJune 15-16, 2019 Town of Colonie Golf Course Entry Deadline: June 10 Entry Fee: $110/$140 neny.pga.com Doug Evans, Northeastern New York PGA T: (518) E: devans@pgahq.com NORTHERN CALIFORNIA June 12-13, 2019 Poppy Ridge Golf Course Entry Deadline: May 26 Entry Fee: No Fee REGISTER Cameron MacGregor, Northern California PGA T: (707) E: cmacgregor@pgahq.com NORTHERN OHIO June 17-18, 2019 Shady Hollow Country Club Entry Deadline: June 10 Entry Fee: $105 QUALIFIER #1 May 11 Venue: Trumbull CC, Warren, OH Entry Deadline: May 4 QUALIFIER #2 May 18 Venue: Wooster CC Entry Deadline: May 11 QUALIFIER #3 May 25 Venue: Riceland Golf Course Entry Deadline: May 18 QUALIFIER #4 May 28 Venue: Portage CC Entry Deadline: May 21 QUALIFIER #5 June 3 Venue: Lake Forest CC Entry Deadline: May 27 QUALIFIER #6 June 6 Venue: Avon Oaks CC, Avon, OH REGISTRATION ON-LINE thenorthernohiopga.com/junior-golf/ Bradley Sims, Northern Ohio PGA T: (216) E: Bsims@pgahq.com Se NORTHERN TEXAS Entry Deadline: Entry Fee: REGISTRATION ON-LINE ntpgajuniorgolf.com Blake Trahan, Northern Texas PGA T: (214) E: btrahan@ntpga.com PACIFIC NORTHWEST June 1-2, 2019 The Home Course Entry Deadline: May 1 SEND OFFICIAL ENTRIES TO: Molly Cooper, Pacific Northwest PGA PO Box Tumwater, WA T: (800) F: (360) mcooper@pgahq.com PHILADELPHIA July 1, 2019 The Springhaven Club Entry Deadline: June 27 Entry Fee: $90 All players must compete in one of the following qualifiers. QUALIFIER #1 June 9 Venue: Pine MeadowsGolf Complex Entry Deadline: May 24 QUALIFIER #2 June 10 Venue: Bent Creek CC Entry Deadline: June 3 QUALIFIER #3 June 11 Venue: Avalon Golf Club Entry Deadline: June 3 QUALIFIER #4 June 18 Venue: Maple Dale CC Entry Deadline: June 10 QUALIFIER #5 June 25 Venue: Indian Valley CC Section Qualifier Entry Fees: $55 (Members) $75 (Non-Members) phillyjuniortour.com Lewis Harry, Philadelphia PGA T: (267) E: Lharry@pgahq.com ROCKY MOUNTAIN June 26-27, 2019 Canyon Springs Golf Course Entry Fee: $60 rockymountainpga.com Michael Kastner, Rocky Mountain PGA T: (208) E: mkastner@pgahq.com SOUTH CENTRAL June 24-25, 2019 Muskogee Country Club Entry Deadline: June 20 scspgajrgolf.com Joyce Cherblanc, South Central PGA T: (918) E: jcherblanc@pgahq.com

6 2019 JUNIOR PGA CHAMPIONSHIP SECTION QUALIFIER ENTRY INFORMATION SOUTH FLORIDA June 11-12, 2019 Boca West Country Club Entry Fee: $110 No additional fee for those that advance to Section Championship. QUALIFIER #1 May 4 Venue: Vineyards Country Club QUALIFIER #2 May 11 Venue: Wellington National QUALIFIER #3 May 19 Venue: The Florida Club QUALIFIER #4 May 26 Venue: The Preserve at Ironhorse Entry Deadline For Qualifiers: April 29 sfpgajuniorgolf.com Chad Peters, South Florida PGA T: (561) E: cpeters@pgahq.com sfpgajuniorgolf.com SOUTHERN CALIFORNIA July 1-2, 2019 Industry Hills Golf Club Entry Fee: $215 scpgajrtour.com Amberlynn Dorsey, Southern California PGA T: (951) E: ksmith@pgahq.com SOUTHWEST June 20-21, 2019 Camelback Golf Course Entry Deadline: June 14 QUALIFIER #1 June 5 Venue: El Rio Golf Course Entry Deadline: May 31 QUALIFIER #2 June 5 Venue: Boulder Creek Golf Club Entry Deadline: May 31 QUALIFIER #3 June 10 Venue: Arrowhead Country Club QUALIFIER #4 June 10 Venue: El Rio Golf Course QUALIFIER #5 June 10 Venue: Talking Stick Golf Club QUALIFIER #6 June 10 Venue: Oakcreek Country Club QUALIFIER #7 June 10 Venue: Longbow Golf Club QUALIFIER #8 June 10 Venue: Ocotillo Golf Club QUALIFIER #8 June 10 Venue: Yuma Golf & Country Club southwestpga.com/juniorgolf Sean Ferris, Southwest PGA T: (480) E: sferris@pgahq.com htp://southwestpga.com UTAH June 17-18, 2019 Soldier Hollow Golf Course Silver Course Entry Deadline: June 12 Entry Fee: $75 utahpga.com Annie Fisher, Utah PGA T: (801) E: afisher@pgahq.com WESTERN NEW YORK June 28, 2019 Glen Oak Golf Club Entry Deadline: June 21 REGISTER westernnewyork.pga.com/jrgolf Bob Ashley, Western New York PGA T: (716) E: bashley@pgahq.com WISCONSIN June 19-20, 2019 Brown Deer Park & Dretzka Park Golf Courses Entry Deadline: June 7 Entry Fee: $80 wiscpgajr.bluegolf.com DIRECT ANY QUESTIONS TO: Andy Landenberger, Wisconsin PGA T: (414) E: alandenberger@pgahq.com SOUTHERN OHIO June 26-27, 2019 Blue Ash Golf Course Entry Fees: $100 (for SOPGA Junior Tour Members) $130 (for Non SOPGA Junior Tour Members) REGISTER sopgajrtour.com Derek Tichner, Southern Ohio PGA T: (937) E: DTichner@pgahq.com SUN COUNTRY June 10-11, 2019 UNM Championship Course Entry Fee: $70 REGISTER Reese Carson, Sun Country PGA T: (505) E: reese@suncountrygolfhouse.com TENNESSEE SOUTHERN TEXAS June 10-11, 2019 The Club at Sonterra (North Course) Entry Deadline: June 5 Entry Fee: $180 stpgajuniorgolf.com Becky Dobrzynski, Southern Texas PGA T: (832) E: agridley@pgahq.com June 3-4, 2019 Riverbend Country Club Entry Deadline: May 29 Entry Fee: $115 tnjuniorgolf.com Kyle Bachman, Tennessee PGA T: (615) E: kbachman@pgahq.com TRI-STATE June 10, 2019 Willowbrook Country Club Entry Deadline: June 3 Entry Fee: $95 Bob Gillespie, Tri-State PGA T: (724) E:dwright@pgahq.com