Paper Application - Nebraska Golf Association
2017 APPLICATION FOR MEMBERSHIP th
Nebraska Golf Association ● 6618 South 118 Street, Omaha, NE 68137 ● (402) 505-4653 x105 ● Web Site - www.nebgolf.org FORE! membership is open to both boys and girls who have not reached the September 1 following graduation from high school and must meet one of the four eligibility requirements listed at the bottom of the page. Golfers age 12 and under are classified as “Supervised Access” members and must be accompanied by an adult when they play at an 18-hole facility. They may play at 9-hole facilities without restriction. Golfers age 13 and older are classified as “Full Access,” and may play each participating facility without adult supervision. FORE! membership includes membership in the Nebraska Golf Association and the benefits that accompany it.
FORE! MEMBERSHIP FEE: $10 IMPORTANT: Please PRINT LEGIBLY and complete ALL INFORMATION
Name:
Date of Birth (M/D/Y):
Address:
Home Phone:
City:
State:
Email:
ZIP: Parent Email:
School: GHIN NUMBER (if available): Parent or Guardian: Gender:
Home Course: Work or Cell Phone:
Male
Female
2017 FORE! MEMBERSHIP CLASSIFICATION FOR AGE 12 & UNDER Golfers age 12 and under are classified as “Supervised Access” members and must be accompanied by an adult when they play at an 18-hole facility. They may play at 9-hole facilities without restriction.
2017 FORE! MEMBERSHIP CLASSIFICATION FOR AGE 13 & UP Golfers age 13 and up are classified as “Full Access” members, and may play each participating facility without adult supervision.
CIRCLE YOUR PROGRAM AND LIST CONTACT • 2017 participant in one of the following certified programs: First Tee; Great Golf Expectations; LPGA/USGA Girls Golf; Nebraska Junior Golf Tour; Panhandle Junior Golf Tour; Golf N Schools; and PGA/USGA Sports Academy. •
2017 participant in a junior golf program at an NGA member club. PROGRAM DIRECTOR ________________________
•
2016-2017 high school golf team participant. SCHOOL__________________COACH ___________________________
•
Other golfers approved by senior official at NGA member club (i.e. PGA Professional or Club Manager). SENIOR OFFICIAL_________________________
Nebraska Golf Association ● 6618 South 118 Street, Omaha, NE 68137 ● (402) 505-4653 x105 ● Web Site - www.nebgolf.org FORE! membership is open to both boys and girls who have not reached the September 1 following graduation from high school and must meet one of the four eligibility requirements listed at the bottom of the page. Golfers age 12 and under are classified as “Supervised Access” members and must be accompanied by an adult when they play at an 18-hole facility. They may play at 9-hole facilities without restriction. Golfers age 13 and older are classified as “Full Access,” and may play each participating facility without adult supervision. FORE! membership includes membership in the Nebraska Golf Association and the benefits that accompany it.
FORE! MEMBERSHIP FEE: $10 IMPORTANT: Please PRINT LEGIBLY and complete ALL INFORMATION
Name:
Date of Birth (M/D/Y):
Address:
Home Phone:
City:
State:
Email:
ZIP: Parent Email:
School: GHIN NUMBER (if available): Parent or Guardian: Gender:
Home Course: Work or Cell Phone:
Male
Female
2017 FORE! MEMBERSHIP CLASSIFICATION FOR AGE 12 & UNDER Golfers age 12 and under are classified as “Supervised Access” members and must be accompanied by an adult when they play at an 18-hole facility. They may play at 9-hole facilities without restriction.
2017 FORE! MEMBERSHIP CLASSIFICATION FOR AGE 13 & UP Golfers age 13 and up are classified as “Full Access” members, and may play each participating facility without adult supervision.
CIRCLE YOUR PROGRAM AND LIST CONTACT • 2017 participant in one of the following certified programs: First Tee; Great Golf Expectations; LPGA/USGA Girls Golf; Nebraska Junior Golf Tour; Panhandle Junior Golf Tour; Golf N Schools; and PGA/USGA Sports Academy. •
2017 participant in a junior golf program at an NGA member club. PROGRAM DIRECTOR ________________________
•
2016-2017 high school golf team participant. SCHOOL__________________COACH ___________________________
•
Other golfers approved by senior official at NGA member club (i.e. PGA Professional or Club Manager). SENIOR OFFICIAL_________________________
