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TOURNAMENT
REGISTRATION
Registration for:
Player Name:
Age:
Phone:
Address:
City:
Zip:
State:
E-mail
Address:
Release
Required for Participation
I / We
, as the parent(s) or legal guardian(s)of the minor child named
above, agree to abide by and uphold the Guidelines of the FSJGT
and to unconditionally release and hold harmless and not to bring
any suit or legal action to bear on the FSJGT, its staff, volunteers,
sponsors, affiliates or successors and assigns as a result of
any accident or injury to the minor child arising from participation
in any FSJGT event. I / we also give permission to allow the use
of photographic images of my child by the FSJGT for Tour promotional
purposes.
By
entering your name in the above parent(s) or legal guardian(s)
you have signed an electronic document and agree to the terms
and conditions outlined above.
Payment Method
Visa
Master Card
Discover
American Express
To pay by check print the form, do not hit send, mail with a check made out to
FSJGT. Must be received by the deadline. No exceptions.
Mail to: P.O. Box 15025, Clearwater, FL 33766-5025
Name as printed
on card:
Card Number:
Expiration Date:
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