Registration

OIJGC - Midwest Qualifier
Red Tail Run - Decatur, IL

June 12th - 14th 2023
Ages 10-18

Golfer Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Parent/Guardian Phone Number *

Email Address *

Gender *

Male

Female

Date of Birth * +

Enter your average score for 18 holes. *

Certification *

I certify that I am an amateur player according to the rules of the USGA and that all of the information furnished on this form is true to the best of my knowledge.