Graham Moore
International Junior Golf Tour
(TO BE FILLED IN USING BLOCK CAPITALS)
Player's Name: ___________________________________________________
Male (M) / Female (F): ____________
Date of Birth (DD/M/YR):
______/______/_______
Date of Birth (DD/M/YR): ______/______/_______
Membership category: 9 Holes ______ 18
Holes ______ (Please Tick One)
Handicap
_________
(Proof will be required at check in per tournament)
Address:
_______________________________________________
_______________________________________________
_________________________________________
City:
_______________________________________________
County/State:
_______________________________________________
Postcode/Zip:
_______________________________________________
Country:
_______________________________________________
E-mail address:
_______________________________________________
Tel No (Inc International Dialing Code): __________________________________
Parent(s) / Guardian(s) name(s):
_________________________________
_________________________________
Relationship to Participant: _________________________________
Annual Membership Fee 9 Holes: £50.00 / €75
Annual Membership Fee 18 Holes: £50.00 / €75
Membership Fee is inclusive of GMIJGT Cap, Bag Tag and Tour Card.
Membership Fees to be paid along with
application form. Fees are payable by Cash or Cheque by direct payment into the
bank. Please do not send cash through the post. Proof of sending is not proof of
receipt; GMIJGT and Graham Moore Golf Tour Ltd. will not be held
responsible for any misdirected or mislaid post
All Cheques must be: Account Payee and in Pounds Sterling or Euro’s.
All Cheques to be made payable to: Graham Moore Golf Tour Ltd.
All direct Sterling payments to Bank Account No: 67157874 Sort Code (Routing) 60-15-29.
For direct Euro payments please contact GM Golf Tour Ltd. H.Q. for details.
National Westminster Bank
The Bull Ring
Northwich
Cheshire
England
U
K
CW9 5BW
Disclaimer
On behalf of Participant (Name):
________________________________________________________ in the Graham Moore
International Junior Golf Tour (G.M.I.J.G.T.). I/We the undersigned acknowledge
and agree to waiver any responsibility of Graham Moore Golf
Tour Ltd. Sponsors, Officials, Directors, Staff and Volunteers from any event and/or
consequence that could or has led to any damage or injury to the above named
participant and/or their equipment and belongings.
I/We also agree by signing this
disclaimer not to seek legal recourse (either individually or as part of a
group) against Graham Moore Golf Tour Ltd, its Sponsors, Officials,
Directors, Staff and Volunteers, in respect of refunds of money for non
participation as laid out in the Rules and Regulations of the tour.
I/We also agree to allow qualified
medical personnel to take all necessary measures to treat the above named
participant due to illness or injury resulting from the individuals involvement
in Graham Moore Golf Tour Ltd. activities.
I/We the undersigned will insure
myself/ourselves to cover in case of these situations arising. Also I/We will
ensure that I/We will provide adequate travel insurance cover where necessary.
Graham Moore Golf Tour Ltd. also reserve the right to promote Graham Moore Golf Tour Ltd. activities throughout the calendar year, using the participants of the tour, and by signing this disclaimer I/We agree to the use of the above named participant and his/her likeness in any such promotion.
SIGNED:
_____________________________________________
DATE (DD/M/YR): ___________
NAME (PRINTED)_____________________________________________
RELATIONSHIP TO PLAYER:
__________________________________
SIGNED:
_____________________________________________
DATE (DD/M/YR): ___________
NAME (PRINTED)_____________________________________________
RELATIONSHIP TO PLAYER:
______________________
Player's Aged 18 or older must complete
this form themselves.
Player's under 18 years of age must have
parent(s)/Guardian(s) signature.
Graham Moore Golf Tour Ltd (Incorporating Graham Moore Junior Golf Tour) .is a private Limited Company registered in England & Wales
Company number 5759783
Copyright © 2004-2008 All rights reserved