Member Registration
Membership Fee: $125.00
ELIGIBILITY: Membership is open to 200 members, both men and women who will be enrolled as full-time high school students during the series.
First Name:
Last Name:
Date of Birth:
(mm/dd/yyyy)
Gender:
<-- Select -->
Male
Female
Address:
Address 2:
City:
State/Prov:
<- Select State ->
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code:
Primary Residency Local to Pinehurst?:
<-- Select One -->
Yes - I live within 100 miles of Pinehurst
No - I do not Live within 100 miles of Pinehurst
Phone:
Email Address:
Password:
High School:
Estimated High School Graduation Date:
(mm/dd/yyyy)
GHIN Num (if available)
Home Course:
Parent or Guardian:
Guardian Phone:
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