Summer Camp Registration Form
We're so excited that you're Junior will be spending time at Evergreen this summer! We have been working hard to make this the best week of their summer. Before we complete you're registration, please fill out this simple form.
Week 5: Monday, July 31- Thursday August 3
Junior Information
Junior Name:
*
First Name
Last Name
Junior Birthdate:
*
-
Month
-
Day
Year
Date
Junior Email (if applicable):
example@example.com
Junior Phone Number (if applicable):
Please enter a valid phone number.
Gender:
*
Male
Female
School:
*
Grade (entering into Fall 2023):
*
Any food allergies we should be aware of? If yes, please list them all below:
*
Junior T-Shirt Size
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Photo permission:
*
Yes
No
Are you or your child a member at Evergreen Golf Club?
Yes
No
Please select the age of Junior Golfer:
*
6-8
9-12
13+
Total:
*
Member Total:
*
Parent Information
Parent Name:
*
First Name
Last Name
Parent Email:
*
example@example.com
Parent Phone:
*
Please enter a valid phone number.
Can we list the parent and information provided above as child's emergency contact?
*
Yes
No
Emergency Contact Name:
*
First Name
Last Name
Emergency Contact Phone:
*
Please enter a valid phone number.
Emergency contact relationship to child:
*
Payment:
Summer Camp Total
*
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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