2006 PEPSI JUNIOR GOLF TOUR APPLICATION - PAGE 1

Name:_________________________________________________________

Date of Birth:___________ Phone Number:(______)_________________

Address:_______________________________________________________

City:________________________State:_______Zip:__________________

Email:_________________________________________________________

Gender:__________ USGA GHIN Number:__________________________

Guardian's Name:_______________________________________________


In Case of Emergency, Notify:___________________________________

Phone: (_______) ______________________________________________

I, for myself and the player, hereby release the Host Facilities, the Pepsi Junior Golf Tour, its officers, directors, and employees from any and all liability for any event or consequence whatsoever in any way arising out of or relating to members' participation in a PJGT event or activity with the sole and singular exception of liability arising out of bad faith or willful misconduct.

In fairness to my fellow members, I agree to cancel all entries by following the withdrawal/no show procedure for any event in which I am unable to compete.

In case of an emergency during a PJGT event, I authorize a qualified, medical physician to take all necessary measures in the treatment of this PJGT participant. Signatures verify that both the player and the parent (guardian) understand the Code of Conduct and waiver form.

___________________________________________________________
Player’s Signature

___________________________________________________________
Guardian's Signature

2006 PEPSI JUNIOR GOLF TOUR APPLICATION - PAGE 2

Player's Name:____________________________________
Please Number 1-8 the order you would prefer to be place in under the Enter Column and letter your Alternates A-H under the Alt List
Date	Event	Enter	Alt List
May 31	Cherokee GC, Louisville	________	________
June 1	Sun Valley GC, Louisville	________	________
June 2	Eagle’s Nest CC, Somerset	________	________
June 5	Madisonville CC, Madisonville	________	________
June 6	Rolling Hills GC, Russellville	________	________
June 7	Boots Randolph GC, Lake Barkley	________	________
June 8	Hopkinsville G & CC, Hopkinsville	________	________
June 9	The Crossings GC, Louisville	________	________
June 12	Tates Creek GC, Lexington	________	________
June 14	Kenny Perry Country Creek, Franklin	________	________
June 15	Canewood GC, Georgetown	________	________
June 19	Elizabethtown CC, Elizabethtown	________	________
June 20	Peninsula Golf Resort, Lancaster	________	________
June 21	Mt Sterling G & CC, Mt Sterling	________	________
June 26	Midland Trail GC, Louisville	________	________
June 27	My Old Kentucky Home, Bardstown	________	________
June 30	Juniper Hills GC, Frankfort	________	________
July 5	Pine Valley GC, Elizabethtown	________	________
July 6	Long Run GC, Louisville	________	________
July 7	Glasgow CC, Glasgow	________	________
July 10	Player’s Club of Henderson, Henderson	________	________
July 17	Campbellsville CC, Campbellsville	________	________
July 18	Picadome GC, Lexington	________	________
July 19	Lakeside GC, Lexington	________	________
July 20	Seneca GC, Louisville	________	________
July 21	Shawnee GC, Louisville	________	________
July 24	Hidden Cove GC, Grayson Lake	________	________
July 25	Stone Crest GC, Prestonsburg	________	________
July 26	Woodlawn Springs, Bardstown	________	________
July 27	Kenny Perry Country Creek, Franklin	________	________
July 31	Weissinger Hills GC, Shelbyville	________	________

Mail to:
KGA-PGA, Inc.
P.O. Box 18369
Louisville, KY  40261