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Northern Territory Junior Masters Monday 23rd June – Friday 27th June 2014 Mid Year Junior Golf Clinic Incorporated ABN : 81 685 331 232

Junior Coaching by Golf Professionals Tony Albon, Steve Tieck, Sean Dwyer, Mitchell Thomason, Gillian Rae, Zoe Nelson, Jordana Keaton, Robert Farley, Kurt Watts and Shane McHenry For Boys & Girls Aged Between 8 & 18 Years 8-10 year olds - Monday 23rd June – Thursday 26th June 8:00am – 3pm Presentation Lunch – Thursday 1:00-2:00pm Over 10 year olds – Monday 23rd June – Friday 27th June 8:00am – 3pm “NT Masters 36 Hole”:- Monday 23rd at PGC, Tuesday 24th at DGC Presentation Lunch – Friday 2pm-3pm Venue : Palmerston Golf & Country Club, Dwyer Circuit, Palmerston Cost : $150 (siblings $104 with proof) includes green fees, morning teas, lunches and hire clubs. For children who live outside of a 300km radius of Darwin the fee is reduced to $30, to assist with travelling expenses. Nomination forms available from : Palmerston Golf & Country Club Pro Shop CONTACTS:- Tony: 0417 823493 Tia: 0419324725 Website: www.golfnt.org.nt Email: ntjuniorclinic@yahoo.com.au


Northern Territory Junior Masters

Monday 23rd June – Friday 27th June 2014 PO Box 39249, Winnellie, NT 0821 Phone: 0417 823493 Email : ntjuniorclinic@yahoo.com.au

PERMISSION FOR CHILD TO ATTEND GOLF CLINIC CHILD’S SURNAME

GIVEN NAME _______________________

DATE OF BIRTH ____________ MALE/FEMALE (Please Circle) SCHOOL_________________ Players Home Club: ______________________Golflink No:_________________Current Handicap____ Parent/Guardian Name: 1______________________________2.______________________________

Players Contact Email:________________________________________________________________ Players Address:______________________________________Town:__________________________

Contact Ph: (Mob): 1.__________________________________2.______________________________

KNOWN ALLERGIES DIETARY RESTRICTIONS UNDER MEDICATION I authorize the supervisors of the clinic to obtain medical attention should the need arise, travel by bus on an excursion to Darwin Golf Club and/or Flight Path and Permission to use photographs for promotion of Junior Golf. Parent/Guardian signature:- 1.____________________________________ YOUR CHILD MUST WEAR: Appropriate golf attire e.g. collared shirt, shorts/skirt, shoes & socks.(No thongs) YOUR CHILD IS ASKED TO BRING : Water bottle, sunscreen, hat. (Golfing equipment if owned) Mid Year Junior Golf Clinic Inc take no responsibility for golfing equipment and personal effects including mobile phones, ipods, ipads, range finders, etc. Cost: $150.00 ( siblings $104 with proof) .


For children who live outside of a 300km radius of Darwin the fee is reduced to $30, to assist with travelling expenses. Nominations with full payment close 16th June 2014 How to Pay:- â ŹDIRECT DEPOSIT : Mid-Year Junior Golf Clinic Inc. BSB : 805-050 Account No : 63294960 CASH / CHEQUE (Made Payable to Mid Year Junior Golf Clinic Inc.)



NT Junior Masters