RENEW YOUR MEMBERSHIP FOR THE YEAR 2008 AND ENJOY THIS INCREDIBLE PACKAGE:

1. ID Member name tag, which provides the junior golfer and his parents-guardians with a lot privileges and benefits.
    (Click on membership benefits on the web site to see the list of them).

2. A booklet of Etiquette and most important rules of the game of golf.

3. A beautiful DCUSA golf shirt, (Let us know your size).

4. A fantastic coupon from the company DCUSA.

5. Participation in all the events-clinics and tournaments during the calendar year.

6. Monthly issue of the premier golf magazine: SOUTHLAND GOLF MAGAZINE.

7. And many more wonderfull stuff that we put together so you can have fun while learning with the great game of golf.

Last Name :

First Name :

M.I :

Street

Address :

City :

State :

Zip Code :

Home Phone :

Date of Birth :

Sex :

Male Female

Email Address:

Parent / Guardian :

Phone :

School currently
attending :

Grade :

H.S

What is your golf skill level?

Beginner Intermediate Advanced

Make Check Payable to : www.westjuniorgolf.com

Parents/Guardians -- Please complete  Assumption of risk and release waiver /media release .-

By signing this Assumption of Risk and Release Wavier, the individual(s) named wishes to join the WEST JUNIOR GOLF  club described below, and  recognizes there are risks of injury or damage arising from the activities specified, or from other activities that may be associated with the Club . By  his/her signature below, the participating individual(s) agrees to assume the risk and responsibilities surrounding his/her  participation in the activities of the club. In addition, the participant agrees to release ,hold harmless, and indemnify WEST JUNIOR GOLF from and against any claims, demands, action, causes of action, law-suits,
expenses, or losses on account of personal injury or property damage(including death) arising out of or attributable to the
individual participating  activities in WEST JUNIOR GOLF . The assumption of Risk and Release Wavier applies to WEST JUNIOR GOLF, its employees, agents, professionals and volunteers. WEST JUNIOR GOLF has my permission to use photographs , film, videotape of my child on this application , for lawful promotional or informational purposes without further authorization or compensation.-

NOTE : there are no refunds , prorates or credits for unused  membership and or missed events (tournaments , clinics , etc. ) .-

The undersigned acknowledges that he/she has read and understand this document.

Signature: --------------------------------------------                   Date:--------------------------------------------    Initials: ------------------------------------

Please print name:----------------------------------------------------------------------------------------

Emergency Contact:_________________________________________________

Phone:______________________ cell : --------------------------------- 

Special needs or allergies:----------------------------------------------------