Trusted Choice Big "I" Junior Classic
Local Entry Form

Please print this form, complete, and return with your local entry fee to your local contact.

The Trusted Choice Big "I" Junior Classic is open to all amateur golfers, boys and girls ages 13-18, who will not reach their 19th birthday before or on July 30, 2009. Any player who has attended college will not be eligible to participate in this tournament regardless of age. Golfers can only participate in one local outing.

Qualifying Round (Please designate below which tournament you wish to enter)
Date:___________________ Course:_______________________________________

Participant Information
Name:___________________________________________________ Sex:__________
Date of Birth:________________________ Age (as of July 30, 2009):_________
Handicap or Average Score:__________
Address:_______________________________________________________________
City:________________________________________ Zip: ____________________
Phone: (______)_____________________ E-mail:___________________________

Amateur Status: I am familiar with the USGA Rules of Amateur Status and I have conformed to these rules in every aspect. I understand the Championship regulations and agree this entry is subject to the approval or rejection at any time by Big "I" Junior Classic officials at their discretion.

I understand that the use of alcohol, drugs and/or any misconduct may disqualify me.
Applicant Signature:_____________________________ Date:________________

Approval and Consent of Parent or Guardian: As parent or guardian of the applicant, I hereby certify the facts as stated in this entry and attest that I am familiar with his/her plans to participate and that he/she does so with my approval. I further certify that in the event emergency medical care needs to be administered to the able named applicant, and the below mentioned persons cannot be contacted, the required parental consent may be given by an authorized member of the Tournament Committee.
Parent/Guardian Signature:_______________________ Date:_______________

In the event of an emergency, contact:
Name:__________________________________  Phone:________________________
Name:__________________________________  Phone:________________________

Contact the individual in your area for specific tournament information. Each tournament sets its own fees.
Contact Shannon Churchill at (800)628-6436, ext. 3004 for general information
or visit IIA of IL's Web site at www.ChooseIndependent.com/golf