Girls Golf Club – Fall

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 *

Secondary Emergency Contact Phone Number *

Please type in which session your junior will attend. (i.e Session 1 or 2, or both) *