COASTAL VALLEY JUNIOR GOLF ASSOCIATION 2011 MEMBERSHIP APPLICATION Players Name:_______________________________________________________ Parents Name:_______________________________________________________ Address:____________________________________________________________ City, State, Zip:______________________________________________________ Telephone:__________________________________________________________ Emergency Contact:__________________________________________________ Emergency Contact Telephone:_________________________________________ Gender:  Male / Female      Age:_____    Birthdate:_________________________ Applicants Signature:________________________________    Date:__________ Parents Signature:___________________________________  Date:__________ Return application along with a $25.00 membership fee to: Rancho Maria Golf Club, attn: CVJGA 1950 State Highway 1 Santa Maria, Ca. 93455