Arkansas State Golf Association
#3 Eagle Hill Court, Suite B
Little Rock, AR 72210

2006 Junior Membership Application
(Please Fill out every line possible, we must have date of birth and zip code)

Name     Male      Female  

Address City     Zip Code

E-mail      Parent E-mail 

Phone Number     Date of Birth    Age      

Home Club or Course      Are you a previous Junior Member?  Yes         No

What is your GHIN Number? 

Father's Name      Mother's Name  

Please send me shirt(s) White  Black @ $35.00 each, which includes shipping and handling. 
Man's shirt size  (Men's S, M, L, X-L, XXL) Color ( White or Black)
Women's shirt size  (Women's S, M, L) Color  (White or Black)

Fees & Merchandise            $15.00 for membership 
                                            $35.00 for ASGA Golf Shirt
                                            $15.00  Cap
Amount submitted:               

Remember you must be an ASGA Junior Member to receive the junior packet containing the entry forms for all ASGA Junior Tournaments and all junior designated tournaments.  Also a GHIN Handicap will be required in 2006 to be able to participate in some ASGA Tournaments.