Invitation Request Form - Mack Champ Invitational

Parent/Guardian Information

Parent/Guardian Name *

First

Last *

Last

Email *

Primary Phone *

Address *

Address

City

State/Province

Zip/Postal

Country

What is the nearest PGA Tour event to your home? *

What is the nearest Korn Ferry Tour event to your home? *

Player Information

Player Name *

First

Last *

Last

Date of Birth *

Gender *

Male

Female

Ethnicity *

If you selected “Other,” please specify.

Graduation Year *

AJGA ACE Grant recipient? *

Yes

No

What kind of putter do you use? *

Blade

Mallet

Driver brand? *

Hybrid/fairway brand? *

Iron brand? *

Wedge brand? *

Putter brand? *

Ball brand and model? *

Grip brand? *

Putter grip brand? *

Instructor First Name *

First

Instructor Last Name *

Last

Instructor Phone *

Home Course *

GHIN#

Which junior tours do you play on? (Please spell out the name; do not abbreviate.) *

Do you receive financial aid from a junior tour for entry fees? If so, what junior tour? *

What are your five best tournament finishes in the past 12 months? Please list tournament names, score(s), place finished, and number of competitors. *

Junior Golf Scoreboard Ranking

Junior Golf Scoreboard Class Ranking

IMG Junior World Championship Best Finish

U.S. Kids Junior World Championship Best Finish

AJGA Ranking

AJGA Class Ranking

USGA Best Finish (Junior Amateur/Amateur)

GPA

SAT Scores

ACT Scores

What are the top 10 colleges you would like to play golf for?

What other sports and/or activities do you participate in?

Other information you would like us to know — future plans, interests, hobbies, etc. *

How did you hear about the Mack Champ Invitational? *

Player Photo (.jpg or .png) *

Maximum upload size: 2MB

Swing Video *

Maximum upload size: 10MB

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