Academy Application Form

Academy Application Form

Kooringal Golf Club
Are you currently a Golf Member at Kooringal Golf Club?

YesNo
Thank you for your interest in the Junior Academy!

This program is exclusively available to Kooringal Golf Club Members.

We’d love to have you join our club! To apply for membership, simply complete an application form on our website.
For your convenience, please find the direct links:
- Junior Member (12-17)
- Cadet (8-11)
If you have any further questions, feel free to contact us at 9315 0855 (Press 3 for Office) or email us at admin@kooringalgolf.com.au.
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Current Handicap*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
Parent/Guardian Phone Number*
Child's Mobile Number
Including your child's phone number is optional
WhatsApp Group Chat*

I give consent to be added to the WhatsApp Group chat.I give consent for my child to be added to the WhatsApp Group chat.
Any allergies, medical conditions, or taking any medications? If yes, please provide the details below.*
Parents/guardians are required to complete the following:*

I give consent to using child's name and image including photography for general marketing and promotion activitiesIn case of an injury or emergency, I consent to the Club making any arrangements they deem necessary.
Golfing Goals - Long Term*
Golfing Goals - Short Term*
Golfing Experiences*
For example: Academy Member Prior Years, Club Team Member, etc
Terms & Conditions

In order to be considered and accepted into the academy the candidate agrees that their handicap will be held at Kooringal Golf Club and that when playing tournaments or pennants, they will only represent Kooringal Golf Club.
Signature of Parent/Guardian*

Clear
Should be Empty:

Academy Application Form

Terms & Conditions