Junior Golf Camp Registration
Camper Information
Full Name
Date of Birth
Gender
Male
Female
Other
Address
City
State / Province
Postal Code
Parent/Guardian Information
Parent/Guardian Name
Relationship to Camper
Phone Number
Email Address
Emergency Contact
Name
Phone Number
Relationship
Medical Information
Allergies or Special Needs
Medications
Doctor's Name
Doctor's Phone
Camp Details
Preferred Session
Session 1
Session 2
Session 3
Previous Golf Experience
Consent & Agreement
I authorize my child to participate in the Junior Golf Camp and certify that the information above is correct.
Signature of Parent/Guardian
Date