Chamberlain Golf
Junior Golf Tournament
2004 Entry Form

Glenwild Greens is a 9-hole Par-3 Golf Course.  Play in one tournament... or both!

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Please print this form (one per player) from your web browser and complete all information below, including parent/guardian signature and mail with check payable to "Chamberlain Golf":
CHAMBERLAIN GOLF
8 Fieldstone Drive
Kinnelon, NJ 07405
973-838-3574
Entry Fee $20 per tournament
PeeWee Entry Fee $12 - Age 8 and under (5 holes only)

All tournaments held at:
    Glenwild Greens GC
    102 Glenwild Avenue
    Bloomingdale, NJ 07405

One caddie (age 14 or older) per player permitted.  No spectators permitted on the course.  Players are expected to report to the starter at least 20 minutes in advance of their assigned tee time.  Failure to report on time may result in disqualification.  Play will start and/or continue in the event of light rain.  Weather cancellation decisions will be made at the course on the day of play.  Players who fail to report for any reason will forfeit their entry fee.  No refunds.  The entry deadline for each tournament is the Sunday prior to the tournament date.  Acceptance of late entries cannot be guaranteed.  Please keep a copy of this form for reference - you will not receive a confirmation.  You may call the course at 973-283-0888 Mon-Fri between 9:00-4:00 to confirm your entry.  Starting times for each tournament will be posted on www.glenwildgreens.com by the Tuesday prior to each tournament.
Check dates for which this entry applies:
Starting times will be assigned as early as 7:30am
q Friday, July 16th q Friday, August 13th
Player
Address
City                                                                                        State                         Zip
E-mail
Home phone                                                                         Cell
Date of Birth                                                                         Grade in Sept 2004

I, the undersigned parent or guardian of _________________________ do hereby agree to forever refrain from making claim or bringing suit against the Glenwild Greens Golf Course (GG), Chamberlain Golf (CG) or any of their agents, servants, or employees and do further release and hold harmless GG and CG or any of their agents, servants, or employees on account of any and all claims, demands, damages, costs, loss of services, expenses, pain and suffering or personal injury arising out of any act or omission whether negligent or not while the above named minor is participating in any activity sponsored by GG or CG.

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print parent/guardian name                                                    parent/guardian signature