| West Penn Amateur QualifyingJun 12, 2007Hill Crest Country Club | |  |
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Parental Consent Required |
| Detail: |
Before an online entry can be accepted for a player under the age of 18, a signed copy of the parental consent form below must be received by the WPGA.
The following should be printed, signed by the a parent or guardian and mailed or faxed to the WPGA at:
Western Pennsylvania Golf Association
324 Fourth St
Pittsburgh, PA 15238
FAX: 412-826-2183
As parent or guardian of ________________, I hereby certify that I am familiar with his/her plans to participate in WPGA championships and that he/she does so with my approval and consent for the following events (check applicable events):
Boys ____
Junior ____
Amateur ____
Open ____
Club Champions ____
Fred Brand ____
Brothers ____
Four-Ball ____
Public Links ____
Womens Amateur ____
If he/she wishes to play in events that are not checked on this form, an additional form will be required before his/her entry can be processed.
In case of medical emergency occurring during this Championship, I authorize a qualified medical doctor to take all necessary measures in the treatment of this applicant.
Relation: ______________________
Signature: _____________________ |
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