Junior Name *
Age (7 - 11) *
Date of Birth *
Gender MaleFemale
Grade *
Skill Level * BeginnerIntermediateAdvanced
Experience Level: i.e. has played before, never played before
Does the junior golfer have golf clubs? YesNo
Parent/Guardian Name(s) *
Phone Number *
Email *
Friends or Siblings wanting to be in the same group
Allergies/Medical Conditions to be aware of *
Secondary Emergency Contact Name *
Secondary Emergency Contact Phone Number *
Please type in which session your junior will attend. (i.e Session 1 or 2, or both) *