Registration for the 2024 New Mexico West Texas Qualifier

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LATE REGISTRATIONS ARE UP TO THE DISCRETION OF LOCAL TOURNAMENT CHAIRMAN. Registration is subject to availability.

REGISTRATION FEE: $20.00.

Online registration does NOT include payment. After submitting your online registration

or make Check payable to Tierra del sol golf club and mail payment to

Clinton Tabet | Optimist Junior Golf | 407 South Mesa Road | Belen, NM 87002

Your registration will not be considered complete until payment is received

First Name *

Last Name *

Birthdate *

(MM/DD/YY)

Mailing Address *

City *

State *

Zip *

Home Phone *

Parent Cell *

E-mail Address *

E-mail is the main method of communication. Please enter your e-mail address carefully.

Age Division *

Division determined by golfer's age on (Boys 10-11, 12-13 and Girls 10-12 - July 20, 2024), (Boys 14-15 and Girls 13-14 - July 25, 2024) and (Boys 16-18 and Girls 15-18 July 30, 2024)

Player Certification *

By clicking "YES," I certify that I am an amateur player, according to the rules of the U.S. Golf Association, and that the information on this application is true to the best of my knowledge.

YES

Required

Parent Certification *

In consideration of the privilege of my child’s participation in the qualifying for the Optimist Championship, I herby release the sponsor from any and all liability resulting from any accidents that might occur while he/she is participating and recognize that pictures may be used by the sponsor.

I AGREE

Required

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