FIRST COAST WOMEN’S AMATEUR
Sponsored by Brooks Rehabilitation

On June 22-23, 2019 the First Coast Women’s Amateur will be held at Eagle Harbor Golf Club. This event is open to those players with an index of 16.0 or less for the Amateur Championship and 25.0 or less for the Senior and Super Senior Championship. There will be a maximum of 76 players. You may use the entry form below. Competitors must be at least 13 years old on June 1, 2019.
Once your entry has been accepted by the committee you will receive a confirming email.

FIRST COAST WOMEN’S AMATEUR ENTRY FORM
[Please print clearly]

Name______________________________Club_________________Hdcp Index______

Address____________________________________________E-Mail__________________

City/Zip _____________________________________Phone (      )___________________
Check one: Championship ___ Senior (50+) Gross___ Super Senior (65+) ____
Please indicate if you are a High School____ or College____ golfer.

  • College golfers have entered college prior to 1 June 2019. Please indicate school
  • High School please indicate class year and school (includes class of 2019)

Enclosed is $________($170.00). Credit cards not accepted.
Check or Money Order payable to Eagle Harbor Golf Club

ENTRY FORM MUST BE RECEIVED by June 15, 2019 at 5PM

MAIL TO:
FCWA
Attention: Penny Reynen
2084 Creekmont Dr
Middleburg, FL 32068

[printfriendly]  please print out and mail to address above