SECTIONAL QUALIFYING SCORES

This form should be returned to your class’s site chairperson.

FAILURE TO RETURN THIS FORM BY THE DEADLINE (SEPTEMBER 29th) WILL RESULT IN THE FORFEITURE OF YOUR PRIVILEGE TO PARTICIPATE IN THE TOURNAMENT. SEE SECTIONAL QUALIFYING SCORES.

Name of School________________________________ Class A B C D (circle one) Council__________________________

Coach’s name and mailing address and telephone numbers.

__________________________________________________ Home Phone: ( ) ____________________________

__________________________________________________ School Phone: ( ) ____________________________

__________________________________________________ Zip: __________________________________

e-mail: ___________________________________________________________________________________________

Name of second supervisor___________________________________________________________________________

(If sending five or six) – It is the participating school’s responsibility to provide a 2^nd supervisor who is a qualified adult and has a rated First Aid and CPR card and will protect the course played and is knowledgeable of USGA rules. ALL OF THE SIGNATURES REQUESTED BELOW MUST BE INCLUDED:

______________________________________(Athletic Director) Home Phone: ( ) _______________________

______________________________________(Principal) Home Phone: ( ) _______________________

______________________________________(Golf Coach) Home Phone: ( ) _______________________

TEAM ROSTER (Please rank golfers from 1-6) Par for home course________________

Golfer #1 Name _______________________________________________

Qualifying Score #1_________ Shot at __________ Date ___________ Final Scoring Average___________

Qualifying Score #2_________ Shot at __________ Date ___________

Qualifying Score #3_________ Shot at __________ Date ___________

Qualifying Score #4_________ Shot at __________ Date ___________

Qualifying Score #5_________ Shot at __________ Date ___________

Golfer #2 Name _______________________________________________

Qualifying Score #1_________ Shot at __________ Date ___________ Final Scoring Average___________

Qualifying Score #2_________ Shot at __________ Date ___________

Qualifying Score #3_________ Shot at __________ Date ___________

Qualifying Score #4_________ Shot at __________ Date ___________

Qualifying Score #5_________ Shot at __________ Date ___________

Golfer #3 Name _______________________________________________

Qualifying Score #1_________ Shot at __________ Date ___________ Final Scoring Average___________

Qualifying Score #2_________ Shot at __________ Date ___________

Qualifying Score #3_________ Shot at __________ Date ___________

Qualifying Score #4_________ Shot at __________ Date ___________

Qualifying Score #5_________ Shot at __________ Date ___________

Golfer #4 Name _______________________________________________

Qualifying Score #1_________ Shot at __________ Date ___________ Final Scoring Average___________

Qualifying Score #2_________ Shot at __________ Date ___________

Qualifying Score #3_________ Shot at __________ Date ___________

Qualifying Score #4_________ Shot at __________ Date ___________

Qualifying Score #5_________ Shot at __________ Date ___________

Golfer #5 Name _______________________________________________

Qualifying Score #1_________ Shot at __________ Date ___________ Final Scoring Average__________

Qualifying Score #2_________ Shot at __________ Date ___________

Qualifying Score #3_________ Shot at __________ Date ___________

Qualifying Score #4_________ Shot at __________ Date ___________

Qualifying Score #5_________ Shot at __________ Date ___________

Golfer #6 Name _______________________________________________

Qualifying Score #1_________ Shot at __________ Date ___________ Final Scoring Average__________

Qualifying Score #2_________ Shot at __________ Date ___________

Qualifying Score #3_________ Shot at __________ Date ___________

Qualifying Score #4_________ Shot at __________ Date ___________

Qualifying Score #5_________ Shot at __________ Date ___________