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

2006 ASGA JUNIOR MEMBERSHIP APPLICATION
(Please fill out every line possible, we must have date of birth and zip code)

(PLEASE PRINT)

NAME____________________________________ MALE________FEMALE________

ADDRESS______________________________________PHONE#________________

CITY__________________________________________ZIP______________________

E-MAIL ________________________ PARENT E-MAIL ________________________

DATE OF BIRTH (required)_______________________AGE_____________________

HOME CLUB OR COURSE________________________________________________

ARE YOU A PREVIOUS JR. MEMBER? _______________

WHAT IS YOUR GHIN HANDICAP NUMBER_______________________________

FATHER'S NAME__________________________________________

MOTHER'S NAME_________________________________________

Please send me ____ Men's White shirt(s) & ____ Men's Black shirt (s)
____Women's White  ____Women's Black Shirt ___Women's White Sleeveless
for $35 each, $30 for the women's sleeveless, which includes shipping and handling. My shirt size
is_______________________(example: Men's Large, Women's Small)

Send a check or money order for membership dues of $12.00 or $15.00 if returned to us after
February 15th, plus $35 per shirt ordered, made payable to the ASGA.

Please list names and address of friends you think would like to be a junior member of the ASGA. 
You may make copies of this application and pass it around.

________________________________    _____________________________________

 ________________________________   _____________________________________

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 USGA/ASGA 
GHIN Handicap will be required in 2006 to be able to participate in some ASGA Tournaments.