2021 Juniors on the Move2021 Juniors on the MoveMid North CoastMid North Coast

Juniors on the Move is aimed at young aspiring golfers under 14 years of age who may be a member of a golf club and not yet ready to play competition golf, or just young junior golfers

looking to learn the game.

It is a perfect introduction to JNJG tournament play contested in a friendly, relaxed, modified and enjoyable environment. Members will receive a JNJG accredited 9 hole handicap, play on

different courses all over the Mid North Coast, as well as be involved in programmes run by Golf Australia and the PGA.

Cost: $130Cost: $130INCLUDES:• Tournament Green Fees• 3 x 2 hour Professional Clinics• Prizes/Trophies/Vouchers

• Fayde Golf Shirt• Family Xmas Party and BBQ• Ability to represent JNJG in the encourage shield.

DateDate CourseCourse Tee OffTee Off

April 13th Lynwood Day 9.30am-4pmMay 16th Woolgoolga RSL GC 9amJune 6th Kempsey GC 1pmJune 27th Coffs Harbour GC 1pmJune 28th Lynwood Day 9.30am-4pmJuly 25th Sawtell GC 1pm

August 22nd Grafton District GC 1pmSeptember 23rd Lynwood Day 9.30am-4pmSeptember 26th Bellingen GC 1pm

Sep 30th - Oct 1st 9 Hole International Challenge Singleton GC TBAOctober 24th Dorrigo GC 1pm

November 14th CEX Urunga GC 1pm

Presented by Fayde Golf and Jack Newton Junior GolfPresented by Fayde Golf and Jack Newton Junior Golf

Do you wish to participate in the Encourage Shield: Y or N

Entry FormEntry Form

a) I give my consent to JNJG and MyGolf to use my child’s name and image (including photography) in any form or medium for general marketing and promotional activities.

Yes / No (please circle)

b) I understand that the personal information collected on this form is used for the purpose of processing my request for participation in the Juniors on the Move and MyGolf program.

Yes / No (please circle)

c) I hereby authorise JNJG or its nominated representative to make such arrangements as deemed necessary by the attending medical practitioner In the event of emergency medical treatment being

necessary in respect of my child.

Yes / No (please circle)

First Name: Surname:

Address:

Date of Birth: Shirt Size: Sex: M / F

School: Year:

Parents Names:

Parent’s mobile 1: Parent’s mobile 2:

Parents Email Addresses:

Golf Club (if any): Golflink Number (if any):

Do you wish to gain a GA Handicap: Y or N

Is the participant on any medication:

Does the participant have any Allergies:

SIGNED: DATE:(PARENT/GUARDIAN)

Please print clearly and complete all sectionsPlease print clearly and complete all sections

2021 Juniors on the Move2021 Juniors on the MoveMid North CoastMid North Coast

Payment Methods Please select one of the available payment methods and check the box for

the one you would like to use.

For any enquiries please contact Luke Woods - 0468 868 179For any enquiries please contact Luke Woods - 0468 868 179

Please return form to JNJG to jom@jnjg.com.au

Payment FormPayment Form

Cost: $130Cost: $130

Active Kids Voucher Number:

Please make sure to attach a copy of the voucher to the registration formPlease make sure to attach a copy of the voucher to the registration form

1. Direct Deposit Account Name: Jack Newton Junior Golf

BSB: 082 080 Account Number: 028 259 241

(When paying via Direct Deposit please write JOMMNC followed by your Surname in (When paying via Direct Deposit please write JOMMNC followed by your Surname in the description)the description)

2021 Juniors on the Move2021 Juniors on the MoveMid North CoastMid North Coast

Please print clearly and complete all sectionsPlease print clearly and complete all sections

2. Active Kids Voucher (100) + Direct Deposit ($30) Direct Deposit Account Name: Jack Newton Junior Golf

BSB: 082 080 Account Number: 028 259 241