Youth Amateur Status Application

Youth ages 12 - 17
To show in a Amateur Class, one must carry an Amateur Card

Name: *
Age: *
Date of Birth: Date of Birth: * / MM / DD YYYY
Parent or Guardian Name: *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone: Phone: * - ### - ### ####
Email: *
Member Member: *
Please refer to the MFTHBA Rules, Standards & Policies book for fee Schedule.
Application and appropriate fees must be received before request can be processed.
$0

Total

+Processing Fee 4%