MEN’S / WOMEN’S MID-AMATEUR (AGES 25 AND ABOVE)
MONDAY, JUNE 26, 2017
MEDFORD VILLAGE COUNTRY CLUB
TEE TIMES START AT 9:00 AM
Please check the box for early or late tee time: EARLY
LATE
Refund Policy: Except in the case of an emergency no refund will be granted after the tournament
registration closes. All refunds are subject to a $5 processing fee.
Player:
Address:
City:
Phone:
Club:
Full GHIN#:
Handicap service (if not GHIN):
Emergency Contact:
Email address:
State:
Zip:
Index:
ID#:
Emergency Phone:
Men and women whose handicap index may be above the limit for the championship flight (9.9 for
women and 7.8 for men) may play in the championship flight by placing an X in the box below.
Check here if you just want to play the course but not participate in the tournament:
Entries open March 15, 2017 to June 12, 2017
Entry Fee $110 per player includes golf, cart, prizes, range balls, and gratuities
Mail Entry to: SJGA
PO Box 884, N. Cape May, NJ 08204
ENTRY FEE MUST ACCOMPANY ENTRY FORM
CARTS MANDATORY
ALL SJGA RULES APPLY