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OPTIMIST INTERNATIONAL Junior Golf Championship
Local Qualifier Royal Oak Area / Michigan District
for Boys & Girls ages 10 –18
Saturday, May 16th, 2015 at 9am – Rain or Shine!
Royal Oak Golf Club
3417 Don Soper Dr., Royal Oak (13 Mile, Just East of Coolidge Highway) (248) 554-0019
$45.00 ($30 for 10-11 year-old Boys and 10-12 year-old Girls both of whom play nine holes)
registration fee includes 18 holes* of golf (walking, no carts) plus a sleeve of golf balls, hot
dog and pop, and trophies for top boy and girl qualifiers in each division. Note: junior golfers should play in a local qualifier to advance. Pre-registration only – no “walk-ons” permitted. Non-motorized pull carts allowed for lower divisions. See registration deadline and scoring rules on next page.
Junior Golfer’s Name: (print)
Gender:
Boy
Birth date:
Month
/
Girl Date
/
Year
Age on July 20th, 2015
for
10 –13 year-old Boys and
10-12 year-old Girls
Age on July 31st, 2015 for
16 –18 year-old
Boys and 15-18 year-old Girls
Age on July 25th, 2015 for 14 –15 year-old Boys and 13-14 year-old Girls
Boy's Division:____age 16 – 18
Girl's Division:____age 15 – 18
____age 14 – 15
Girl's Division:____age 13 – 14
____age 12 – 13
Girl's Division:____age 10 – 12
____age 10 – 11* Handicap
or average score for 18 holes
(9 holes for 10-11 year old boys and 10-12 year-old girls)
*Boys age 10-11 and Girls age 10-12 play 9 holes only in this qualifier.Division is determined by junior
golfer’s age on the last day of the Championship in Florida. Note: college students are not eligible.
Address
Would you prefer E-mail confirmation? __No
Home Phone #(
City __Yes, address Zip
)
Parent’s Daytime Phone #(
Emergency Contact: Daytime Phone #(
)
)
@
I certify that I am an amateur player according to the rules of the USGA and this information is true to the best
of my knowledge.
Applicant’s Signature
Date I hereby release the sponsors from any and all liabilities, which might occur during my child’s participation in this Optimist-sponsored Junior Golf Qualifying Tournament. I understand the top boy and girl qualifiers in each age group from
this tournament will advance to the Michigan District Qualifying Tournament (separate entry fee will be paid for 1st place
qualifiers) to be held June 23rd and 24th, 2015 at The Metamora Golf Course in Metamora, Michigan. Qualifiers advance
to the Optimist International Junior Golf Championships at the PGA National Resort and Spa in Palm Beach Gardens,
Florida in July.
Parent’s Signature Date DEADLINE
Form and registration fee of $45.00 must be received by May 14th, 2015.
Limited to the first forty (40) paid registrants
Enclose a check for $45.00 ($30 for nine holes) payable to “Royal Oak Optimist Club”
Tee-times set by age and gender. You will be notified of your tee time by May 15th, 2015.
Mail to: OI Jr. Golf, c/o Mike Ripinski
3152 Parker Drive
Royal Oak, MI 48073
call 248.789.2735 for info
or e-mail [email protected]
NO REFUNDS ON CANCELLATIONS AFTER MAY 15TH, 2015
QUALIFYING CRITERIA TO ADVANCE
*BOYS 16-18: a score of 82 or under
*GIRLS 15-18: a score of 90 or under
*BOYS 14-15: a score of 86 or under
*GIRLS 13-14: a score of 93 or under
*BOYS 12-13: a score of 93 or under
**GIRLS 10-12: a score of 48 or under (9 holes)
**BOYS 10-11: a score of 46 or under (9 holes)
**NOTE: 10-11 year-old Boys and 10-12 year-old Girls only play nine holes
Non-motorized pull carts allowed for lower divisions