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NAME: __________________________________________ AGE:______ SEX:_____ ADDRESS: ________________________________________________________________________________________________________________________________________________ PARENT (S) NAME (S): ________________________________________________________________PARENT HOME PHONE:___________________ BUSINESS PHONE:___________________CONTACT IN CASE OF EMERGENCY:__________________________________________________ HAS YOUR CHILD HAD GOLF INSTRUCTION BEFORE?________________________________ IF YES, BY WHOM AND TO WHAT EXTENT?___________________________________________ DOES YOUR CHILD HAVE GOLF EQUIPMENT?________________________________________
DOES YOUR CHILD HAVE ANY ALLERGIES? YES_________ NO__________ IF YES, PLEASE EXPLAIN:________________________________________________________________ PLEASE DESCRIBE BELOW ANY MEDICAL CONDITIONS, PHYSICAL RESTRAINTS OR HANDICAPS YOUR CHILD MAY HAVE. BE SPECIFIC AND PROVIDE INFORMATION REGARDING ANY MEDICATIONS YOUR CHILD MAY BE TAKING. WE ASK THIS INFORMATION TO PROVIDE YOUR CHILD WITH THE MOST POSITIVE EXPERIENCE WE CAN: ____________________________________________________________________________ ____________________________________________________________________________ |
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SESSION REQUESTED 1ST CHOICE___________ 2ND CHOICE___________ PAYMENT RECEIVED AMOUNT_______ CHK______ CASH ______ PARENTS SIGNATURE:_________________________________ DATE:____________ WITHDRAWALS: Full refunds will be given up to one week before camp begins – less than one weeks notice a $20.00 administration fee will be charged. There will be NO refunds after camp has begun. |
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INFORMATION