First name you prefer to be called
Date of Birth (MM/DD/YYYY)
Name of parent(s) or guardian(s) with whom you live
Parent’s cell phone
Parent’s email address
Do you plan to work while at college?
Name of your High School
Senior Counselor’s Name
Senior Counselor’s Email
High School Offices Held
Golf and Other Athletics
Average Golf Score or Handicap?
Where do you plan to attend college?
Have you applied for admission?
Have you been accepted?
What field of study do you plan to pursue?
I authorize the Birmingham Golf Association to use my name and photograph, and I agree not to hold Birmingham Golf Association liable for any such use
Signature of Applicant
Signature of Parent/Guardian