BOYS JUNIOR PGA SECTION CHAMPIONSHIP CONDITIONS OF ENTRY
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1 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 3, 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 42 ND 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 8/3/2017 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 36 holes 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 2017 PGA Section Junior PGA Championship event as noted on this application. The National Championship (if I qualifiy) will be held at The Country Club of St. Albans, St. Albans, Missouri on July 31-August 3, 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., The Country Club of St. Albans, 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 PGA Junior Series and 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 42 ND BOYS JUNIOR PGA CHAMPIONSHIP MEDICAL AUTHORIZATION 2017 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 ALOHA Tuesday, June 6 Wednesday, June 7 Wailua Golf Course Kauai, Lihue, HI Entry Deadline: Wednesday, May 17 Wesley Wailehua, Aloha PGA 615 Piikoi Street, Suite 1812 Honolulu, HI T: (808) F: (808) wwailehua@pgahq.com CAROLINAS Saturday, June 24 Sunday, June 25 The Hackler Course at Coastal Carolina University, Conway, SC Entry Fee: $110 REGISTER carolinas.pga.com/junior-tournaments/ Chris Gaines, Carolinas PGA 6271 Bryan Park Road Browns Summit, NC T: (336) F: (336) cgaines@pgahq.com CENTRAL NEW YORK Tuesday, July 11 Wednesday, July 12 Radisson Greens Golf Club, Baldwinsville, NY Entry Deadline: Thursday, July 6 $60 (for CNYPGA Junior Tour Members) $70 (for Non CNYPGA Junior Tour Members) REGISTER cny.pga.com/juniortour Ryan McGinnis, Central New York PGA 5011 Jamesville Rd. Jamesville, NY T: (315) F: (315) rmcginnis@pgahq.com COLORADO Monday, June 12 Wednesday, June 14 Eisenhower Golf Club, Colorado Springs, CO Entry Deadline: Sunday, May 28 Juniors must compete in one of the following qualifiers for a chance to compete in the Section Championship, unless already eligible based on their 2016 finish, final position in the 2016 official points list, finish in the 2016 CHSAA State tournament or if they won a 2016 Major Championship. QUALIFIER #1 Thursday, June 1 Indian Tree GC, Arvada, CO Entry Deadline: Thursday, May 25 QUALIFIER #2 Sunday, June 11 Antler Creek GC, Falcon, CO Entry Deadline: Sunday, June 4 Section Qualifier Entry Fee: $45 REGISTER Holly Champion, Colorado PGA 6630 Bear Dance Road, Suite 200 Larkspur, CO T: (303) F: (303) hchampion@pgahq.com CONNECTICUT Tuesday, June 27 Wednesday, June 28 The Course at Yale, New Haven, CT Entry Deadline: Wednesday, June 21 Tim Paragone, Connecticut PGA 931 Main St., Carriage House, South Glastonbury, CT T: (860) F: (860) tparagone@pgahq.com DIXIE Tuesday, June 20 Wednesday, June 21 TimberCreek Golf Club, Spanish Fort, AL Entry Deadline: Tuesday, June 5:00 p.m. CST Wade Dockery, Dixie PGA 1300 Ballantrae Club Drive Pelham, AL T: (205) F: (205) wdockery@pgahq.com GATEWAY Tuesday, June 13 Wednesday, June 14 The Quarry at Crystal Springs, Maryland Heights, MO Entry Deadline: Tuesday, June 6 REGISTER gatewaypga.org/jrgolf Nolan Toovey, Gateway PGA Wild Horse Creek Road, Suite 110 Chesterfield, MO T: (636) F: (636) ntoovey@pgahq.com GEORGIA Monday, June 5 Tuesday, June 6 Cartersville Country Club, Cartersville, GA Entry Deadline: Friday, June 2 REGISTER georgiapga.com or Scott Gordon, Georgia PGA 590 W. Crossville Road, Suite 204 Roswell, GA T: (678) F: (678) sgordon@pgahq.com GULF STATES Diamondhead Country Club Cardinal, Diamondhead, MS Entry Fee: $165 REGISTER gspga.com or Derek Plucienski, Gulf States PGA th Street, Suite 110 Metairie, LA T: (504) F: (888) dplucienski@pgahq.com ILLINOIS Thursday, July 20 Friday, July 21 Highland Park Golf Club, Highland Park, IL Entry Deadline: Wednesday, July 12 Entry Fee: $50 REGISTER ON-LINE ipga.com Brad Slocum, Illinois PGA 2901 W. Lake Avenue, Suite A Glenview, IL T: (224) F: (847) bslocum@pgahq.com INDIANA Wednesday, July 12 Thursday, July 13 The Fort Golf Resort, Indianapolis, IN Entry Deadline: Wednesday, July 5 $75 (Members) $100 (Non-Members) REGISTER indianagolf.org/juniors Zach Hale, Indiana PGA 2625 Hurricane Road Franklin, IN T: (317) F: (317) zhale@indianagolf.org IOWA Monday, July 10 Tuesday, July 11 Ames Golf & Country Club, Ames, IA Juniors must compete in one of the following seven qualifiers for a chance to compete in the Section Championship. QUALIFIER #1 Wednesday, June 7 Timberline GC, Peosta, IA QUALIFIER #2 Monday, June 12 Westwood GC, Newton, IA QUALIFIER #3 Monday, June 19 Ottumwa CC, Ottumwa, IA QUALIFIER #4 Monday, June 19 Mason City CC, Mason City, IA QUALIFIER #5 Tuesday, June 20 Ellis Park GC, Cedar Rapids, IA QUALIFIER #6 Monday, June 26 Copper Creek GC, Pleasant Hill, IA QUALIFIER #7 Tuesday, June 27 Glynns Creek GC, Long Grove, IA Section Qualifier Entry Deadline: Sunday, June 4 Section Qualifier Entry Fee: $45 No additional fee for those that advance to Section Championship REGISTRATION ON-LINE iowapga.com Tess Goudy, Iowa PGA T: (319) F: (319) tgoudy@pgahq.com KENTUCKY Wednesday, June 7 Thursday, June 8 University Club of Kentucky Big Blue Course, Lexington, KY Entry Deadline: Thursday, June 1 $95 (for KY PGA Junior Tour Members) $135 (for Non KY PGA Junior Tour Members) REGISTER Chris Redle, Kentucky PGA 1116 Elmore Just Drive Louisville, KY T: (502) I F: (502) credle@pgahq.com METROPOLITAN Entry Deadline: Entry Fee: QUALIFIER #1 QUALIFIER #2 Qualifier Entry Deadline: Daniel Frankel, Metropolitan PGA 49 Knollwood Road, Suite 200 Elmsford, NY T: (914) F: (914) dfrankel@pgahq.com MICHIGAN Bedford Valley, Battle Creek, MI Entry Deadline: Tuesday, June 22 Chelsea Guoynes, Michigan PGA PO Box 4399 East Lansing, MI T: (517) F: (517) cguoynes@michiganpga.com MIDDLE ATLANTIC U.S. Naval Academy Golf Club, Annapolis, MD $140 (Members of the MAPGA) $170 (Non-Members of the MAPGA) Bob Heintz, Middle Atlantic PGA 1 PGA Drive Stafford, VA T: (540) bheintz@pgahq.com MIDWEST Monday, June 19 (13-18) Brookridge Golf & Fitness, Overland Park, KS Entry Deadline: Monday, June 12 Tuesday, June 20 (12 & Under) Drumm Farm Golf Club - Executive Course, Independence, MO Entry Deadline: Monday, June 12 Entry Fee: $45 Shannon Johnson, Midwest Section PGA 1960 NW Copper Oaks Circle Blue Springs, MO T: (816) F: (816) sjohnson@pgahq.com
5 MINNESOTA Thursday, July 13 Friday, July 14 Chaska Town Course, Chaska, MN Entry Deadline: Thursday, June 29 $65 (Members of the MNPGA) $75 (Non-Members of the MNPGA) Juniors wishing to compete for the Minnesota Junior PGA Championship, ages 13-18, may only register for one (1) 18-hole qualifying event. Section Championship is a 36-hole event. Field sizes are limited and vary at each site. Field size may be filled before entry deadline date. Registration is filled on a first come, first serve basis. QUALIFIER #1 Wednesday, June 14 Prairie Green GC, Sioux Falls, SD QUALIFIER #2 Friday, June 16 Keller GC, St. Paul, MN QUALIFIER #3 Wednesday, June 21 Ruttger s Bay Lake Lodge, Deerwood, MN Entry Deadline: Wednesday, June 14 QUALIFIER #4 Tuesday, June 27 The Links at Northfolk, Ramsey MN Entry Deadline: Tuesday, June 20 QUALIFIER #5 Wednesday, June 28 Ridges at Sand Creek, Jordan, MN Entry Deadline: Wednesday, June 21 QUALIFIER #6 Thursday, June 29 Valleywood GC, Apple Valley, MN Qualifier $50 (Members) $50 (Non-Members) Minnesota PGA Junior Golf Association Bunker Prairie Road Coon Rapids, MN T: (763) F: (763) bbush@pgahq.com NEBRASKA Wednesday, June 14 Thursday, June 15 The Pines Country Club, Valley Nebraska Entry Fee: $80 Sean O Neill, Nebraska PGA 610 J Street, Suite 10 Lincoln, NE T: (402) F: (402) soneill@pgahq.com NEW ENGLAND Wednesday, July 5 - Thursday, July 6 Shaker Hills Golf Club, Harvard, MA Entry Deadline: Monday, June 26 Entry Fee: $145 All individuals who make the section Championship field must RSVP by the entry deadline or they will lose their spot. QUALIFIER #1 Saturday, April 15 North Kingstown, GC, North Kingstown, RI Entry Deadline: Monday, April 10 QUALIFIER #2 Sunday, April 23 Highfields GC, Grafton, MA Entry Deadline: Tuesday, April 18 QUALIFIER #3 Saturday, June 3 Toddy Brook GC, North Yarmouth, ME Entry Deadline: Monday, May 29 QUALIFIER #4 Sunday, June 11 Bretwood GC, Keene, NH Entry Deadline: Tuesday, June 6 QUALIFIER #5 Thursday, June 29 Quashnet Valley, Mashpee, MA Entry Deadline: Friday, June 23 Section Qualifier Entry Fee: $50 REGISTER nepgajuniortour.com Jacy Settles, New England PGA 81 C Shrewsbury Street Boylston, MA T: (508) x 204 F: (508) jsettles@pgahq.com NEW JERSEY Monday, June 26 Tuesday, June 27 Rossmoor Golf Club, Monroe, NJ Entry Deadline: Monday, June 19 REGISTER newjersey.pga.com/juniorgolf/ Greg Zohovetz, New Jersey PGA 811 Rattlesnake Bridge Road Bedminster, NJ T: (732) F: (732) gzohovetz@pgahq.com NORTH FLORIDA Tuesday, June 20 Wednesday, June 21 Reunion Resort, Reunion, FL Entry Fee: $80 Ben Herring, North Florida PGA 7593 Gathering Drive Kissimmee, FL T: (386) F: (386) bherring@pgahq.com NORTHEASTERN NY Friday, July 7 Saturday, July 8 Town of Colonie Golf Course, Schenectady, NY Entry Deadline: Sunday, July 2 Doug Evans, Northeastern New York PGA Town of Colonie Golf Course 418 Consaul Road Schenectady, NY T: (518) F: (518) devans@pgahq.com NORTHERN CALIFORNIA Wednesday, June 14 Thursday, June 15 Poppy Ridge Golf Course, Livermore, CA Entry Deadline: Friday, June 2 Entry Fee: No Fee REGISTER Cameron MacGregor, Northern California PGA 411 Davis Street, Suite 103 Vacaville, CA T: (707) F: (707) cmacgregor@pgahq.com NORTHERN OHIO Monday, June 19 Tuesday, June 20 Shady Hollow Country Club, Massillon, OH Entry Deadline: Monday, June 12 Entry Fee: $98 QUALIFIER #1 Saturday, May 13 Trumbull CC, Warren, OH Entry Deadline: Saturday, May 6 QUALIFIER #2 Saturday, May 20 Wooster CC, Wooster, OH Entry Deadline: Saturday, May 13 QUALIFIER #3 Saturday, May 27 Riceland Golf Course, Orrville, OH Entry Deadline: Saturday, May 20 QUALIFIER #4 Tuesday, May 30 Hudson CC, Hudson, OH Entry Deadline: Tuesday, May 23 QUALIFIER #5 Monday, June 5 Shaker Heights CC, Shaker Heights, OH Entry Deadline: Monday, May 29 QUALIFIER #6 Tuesday, June 6 Ellsworth Meadows GC, Hudson, OH Entry Deadline: Tuesday, May 30 QUALIFIER #7 Thursday, June 8 Avon Oaks CC, Avon, OH Entry Deadline: Thursday, June 1 QUALIFIER #8 Saturday, June 10 Mill Creek GC, Boardman, OH Entry Deadline: Saturday, June 3 QUALIFIER #9 Monday, June 12 Portage CC, Akron, OH Entry Deadline: Monday, June 5 Section Qualifier Entry Fee: $55 REGISTRATION ON-LINE thenorthernohiopga.com/junior-golf/ Eileen Antenucci, Northern Ohio PGA T: (216) F: (216) eantenucci@pgahq.com NORTHERN TEXAS NTPGA Junior Match Play Championship Tuesday, June 20 Friday, June 23 Firewheel Golf Park - Bridges Course, Garland, TX Entry Fee: $265 This Championship will be conducted over 4 days. The first 2 days will consist of a 36-hole stroke play competition, which will advance players to the next 2 days of Match Play depending on their finish in the Stroke Play tournament. REGISTRATION ON-LINE ntpgajuniorgolf.com Trenton Blundell, Northern Texas, PGA Preston Rd. Suite 250 Dallas, TX T: (214) F: (214) tblundell@ntpga.com PACIFIC NORTHWEST Saturday, June 3 Sunday, June 4 Canyon Lakes Golf Club, Kennewick, WA Entry Deadline: Friday, May 26 Entry Fee: $120 Molly Cooper, Pacific Northwest PGA PO Box Tumwater, WA T: (800) F: (360) mcooper@pgahq.com PHILADELPHIA Monday, July 10 Concord Country Club, Chadds Ford, PA Entry Deadline: Friday, July 7 Entry Fee: $90 All players must compete in one of the following qualifiers. QUALIFIER #1 Monday, June 12 Bent Creek CC, Lititz, PA Entry Deadline: Friday, June 2 QUALIFIER #2 Thursday, June 22 Bayside Resort GC, Selbyville, DE QUALIFIER #3 Tuesday, June 27 Downingtown CC, Downingtown, PA Entry Deadline: Friday, June 16 QUALIFIER #4 Wednesday, July 5 Pennsauken CC, Pennsauken, PA Entry Deadline: Friday, June 23 Section Qualifier $55 (Members) $75 (Non-Members) All are encouraged to REGISTER phillyjuniortour.com Bobby Howie, Philadelphia PGA 1009 Penllyn Pike Lower Gwynedd, PA T: (267) F: (215) bhowie@pgahq.com ROCKY MOUNTAIN Wednesday, June 28 Thursday, June 29 Bridger Creek Golf Course, Bozeman, MT Entry Deadline: Wednesday, June 21 REGISTER rockymountainpga.com Michael Kastner, Rocky Mountain PGA 1303 S. Five Mile Road Boise, ID T: (208) F: (208) mkastner@pgahq.com SOUTH CENTRAL Monday, June 26 Tuesday, June 27 The Club at Indian Springs, Broken Arrow, OK REGISTER ONLINE scspgajrgolf.com Joyce Cherblanc, South Central PGA 951 North Forest Ridge Blvd. Broken Arrow, OK T: (918) F: (918) jcherblanc@pgahq.com
6 SOUTH FLORIDA Wednesday, June 14 Thursday, June 15 Boca Grove Golf & Tennis Club, Boca Raton, FL Entry Deadline: Monday, May 22 Section Qualifier No additional fee for those that advance to Section Championship. QUALIFIER #1 Saturday, May 27 QUALIFIER #2 Saturday, June 3 Vineyards CC, Naples, FL QUALIFIER #3 Saturday, June 3 Entry Deadline For Qualifiers: Monday, May 22 REGISTER ONLINE sfpgajuniorgolf.com Jake Weir, South Florida PGA 186 Atlantis Blvd. Atlantis, FL T: (561) F: (561) jweir@pgahq.com SOUTHERN CALIFORNIA California Country Club, Industry, CA Entry Fee: $160 REGISTER ONLINE scpgajrtour.com Jake Ellison, Southern California PGA 3333 Concours Street Building 2, Suite 2100 Ontario, CA T: (951) F: (951) jjellison@pgahq.com SOUTHERN OHIO Blue Ash Golf Course, Blue Ash, OH $90 (for SOPGA Junior Tour Members) $120 (for Non SOPGA Junior Tour Members) REGISTER ONLINE sopgajrtour.com Brent Shane, Southern Ohio PGA 66 South Central Avenue Fairborn, OH T: (937) F: (937) bshane@pgahq.com SOUTHERN TEXAS Augusta Pines Golf Club, Spring TX Entry Fee: $165 REGISTER ONLINE stpgajuniorgolf.com Andrew Gridley, Southern Texas PGA Gosling Road Spring, TX T: (832) F: (832) agridley@pgahq.com SOUTHWEST Saturday, June 3 Sunday, June 4 Ak-Chin Southern Dunes Golf Club, Maricopa, AZ Entry Deadline: Saturday, May 27 Phoebe Cipa, Southwest PGA N. 69th Street Scottsdale, AZ T: (480) F: (480) pcipa@pgahq.com SUN COUNTRY Monday, July 17 Tuesday, July 18 Tanoan Country Club, Albuquerque, NM Entry Deadline: Monday, July 10 Gerome Espinoza, Sun Country PGA 2316 Southern Blvd SE, Suite D Rio Rancho, NM T: (505) F: (505) gerome@suncountrygolfhouse.com TENNESSEE Temple Hills Country Club, Franklin, TN Entry Fee: $110 REGISTER ONLINE tnjuniorgolf.com Kyle Bachman, Tennessee PGA T: (615) kbachman@pgahq.com TRI-STATE Thursday, June 15 (36 Holes One Day) Fox Run Golf Course, Beaver Falls, PA Entry Fee: $95 Andrew Papalia, Tri-State PGA 993 Brodhead Road, Suite 204 Moon Township, PA T: (724) apapalia@pgahq.com UTAH Soldier Hollow Golf Course Silver Course, Midway, UT Annie Fisher, Utah PGA 580 West 3300 South Salt Lake City, UT T: (801) F: (801) afisher@pgahq.com WESTERN NEW YORK Friday, June 30 (36 Holes One Day) The Fox Valley Club, Lancaster, NY Entry Deadline: Friday, June 16 REGISTER ONLINE westernnewyork.pga. com/jrgolf Bob Ashley, Western New York PGA 6161 Genesee Street Lancaster, NY T: (716) F: (716) bashley@pgahq.com WISCONSIN Tuesday, June 20 Wednesday, June 21 Brown Deer Park & Dretzka Park Golf Courses, Milwaukee, WI Entry Deadline: Thursday, June 8 Entry Fee: $75 Andy Landenberger, Wisconsin PGA W. Theo Trecker Way West Allis, WI T: (414) F: (414) alandenberger@pgahq.com
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