APPLICATION FOR ENTRY
2007 MIZUNO JUNIOR TOUR

Name                                                                                                                                                    2008 Graduate?    Yes       No
Address                                                                               City                                                            Zip Code                                       
Parent/Guardian                                                                                                                          Home Telephone                            
E-mail address (please print clearly)                                                                                                                                                           
Age                      Grade COMPLETED in June 2007                          School                                                                                              
2006-07 Regional Score                      18-hole average                   
Coach’s Verification of Score (Signature)                                                                                           
Emergency Contact                                                                                                                          Telephone                                      
ENTRY FEE: $20.00 for Tour plus listed cost for each individual tournament (Check payable to Mizuno Junior Tour - Please do not send cash.)  
MAIL TO:  Mike Booher, 477 S. Main, Vermontville, MI 49096

Date

Location

Cost

Amount

June 14, 2007 Centennial Acres GC, Sunfield MI $26 $  
June 19, 2007 Grand Ledge CC, Grand Ledge MI $26 $  
June 25, 2007 The Emerald, St. Johns MI $32 $ 
July 6, 2007 Morrison Lake GC, Saranac MI $26 $
July 10, 2007 Willow Wood GC, Portland MI $26 $  
July 16, 2007 Timber Ridge CC, E. Lansing MI   $32 $
July 23, 2007 The Medalist GC, Marshall MI $32
July 30, 2007 College Fields GC, Okemos MI $32 $
  Tour Entry Fee $       20.00
  TOTAL AMOUNT ENCLOSED $

I agree to play by the USGA Rules of Golf and the MHSAA Rules in regard to dress code and conduct.*

Signature of Applicant ______________________________________________   Date _____________, 2007

As parent or guardian of the applicant, I hereby certify the facts in this entry form and state that I am familiar with his/her plans to participate and that he/she does so with my approval. Further, I, for myself and the applicant, hereby release Mizuno, its Committee members, officers, and employees from any and all liability for any event or consequence whatsoever in any way arising out of or relating to the applicant’s entry or participation in this Tour with the sole and singular exception of liability arising out of bad faith or willful misconduct. In case of any emergency occuring during any of these events, I authorize a qualified medical doctor to take all necessary measures in the treatment of this applicant.

Signature of Parent or Guardian _________________________________________   Date _____________, 2007

*Proper golf attire, including a golf shirt with a collar, will be required. Short-shorts, blue jeans, cut-offs and tank tops are not permitted. Spikeless golf shoes are required at all sites.   *Caddies and automotive transportation (carts) will not be allowed.    *Mizuno updates and tee times will be available at www.MizunoJrTour.com