2010
2010
YOUTH SUMMER PR0GRAM
Registration Form
Participant’s Last
Name________________ First Name___________________
Male____ Female____ Birth
Date___________________ Age______________
Parent/Guardian_________________ Phone (H)____________
(W)_________
Address_________________________________________________________
City_____________________________________________ Zip____________
Email (get
Emergency
Contact_______________________________ Phone____________
* Refer
to the 2010 Instruction and League Brochure for dates and times for each youth
program.
* Make
check payable to: The Golf Club at
* All
other methods of payment must be made in person i.e., cash, credit card, gift
card etc.
Check appropriate
box(s)
o Youth Saturday Clinic ($75) o Youth Monday League I ($150)
o
Youth Summer Camp I
($150)
o
Youth Tuesday League I
($150)
Shoe Size ________
o
Youth Summer
Shoe Size ________
o
Youth Summer
Shoe Size ________
o Youth Player’s Camp I ($175) o Youth Tuesday League II ($150)
o
Youth Player’s
o Youth Thursday Fall League ($110)
Total # of Programs ______
Total Amount Due ______
I, parent/guardian of the above named person, hereby give
my consent to participate in any or all of the activities of The Golf Club at
_______________________________________________
Signature of
Parent/Guardian