2020 KJGA Membership Form
Please mail your Cashier check or Money order to: P.O. Box 1064, Lihue, HI 96766

You will receive an email confirmation once we receive your payment.

Membership is open to juniors between the ages of 5-18 years. Juniors interested must not have entered college or must not reach their 19th birthday on or before July 1, 2020.

Please fill out entirely and for questions you don't know or if you have full custody of a child, please enter N/A as your answer. Mahalo.
Email address *
Jr. Golfer's First Name *
Your answer
Jr. Golfer's Last Name *
Your answer
Name of siblings who are members *
Your answer
Gender *
Birthday *
MM
/
DD
/
YYYY
High School Grad Year *
Your answer
Current School Attending *
Your answer
Collared Shirt Size *
Does your junior golfer need golf clubs? *
GHIN Number *
If your child does not have one just type N/A
Your answer
Year Joined KJGA *
Your answer
Home Golf Course *
Your answer
Mother/Legal Guardian's Full Name *
Your answer
Mother/Legal Guardian's Phone Number *
Your answer
Father/Legal Guardian's Full Name *
Your answer
Father/Legal Guardian's Phone Number *
Your answer
Primary Contact *
Your answer
Secondary Email
If you would like to receive notifications to more than one email.
Your answer
Mailing Address *
EX: 1111 Right Lane (Street number and name or PO BOX 1111)
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Total Amount Paying *
1st child: $60 & $30 for each additional child
Your answer
I, as the parent or legal guardian, for the member and me, hereby release the Host Facilities, the Kauai Junior Golf Association (KJGA), its officers, directors and employees from any and all liability for any event or consequences whatsoever in any way arising out of or relating to member's participation in any KJGA event or activity with the sole and singular exception of liability arising out of bad faith or willful misconduct. In case of emergency during a KJGA event, I authorize a qualified physician to take necessary measures in the treatment of the KJGA participant. It is understood that neither the Host Facility nor KJGA is responsible for any loss of stolen items. Permission is hereby granted to the KJGA to use the members name and/or photo for promotional purposes. I, as the parent or legal guardian, by typing my full and legal name agree to all of the above. If you agree, type your full and legal name. *
Your answer
Free Group Golf Lessons *
TBA - We will email you more info. Would you like to be notified? - Please note: 2020 schedule can be found at www.kjga.org.
Please Sign (Type First Name & Last Name) if you agree and understand that Parents must volunteer at 2 tournaments of the year. Our Tournament Director will keep you posted via email for signups. Also, we are asking parents to sign up for snacks/drinks at least 2 tournaments of the year. If you agree and acknowledge this please type your name below: to you for your convenience? *
Your answer
Please Sign (Type First Name & Last Name) if you agree and understand that Parents and their Jr. Golfers must volunteer at least 1 Fundraising Tournaments/Events of the year. If you agree and acknowledge this, please type your name and Jr. Golfer's name below: *
Your answer
A copy of your responses will be emailed to the address you provided.
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