ACADEMY REGISTRATION FORM

ACADEMY REGISTRATION FORM
Student Name*

First NameLast Name
Student Age*
2nd Students Name

First NameLast Name
2nd Students Age
3rd Students Name

First NameLast Name
3rd Students Age
What is the student's experience level?*

BeginnerIntermediateAdvanced
Select a Semester*

Winter Semester (January 6th - March 23rd)Spring Semester (March 24th - May 18th)Summer Semester 1 (May 19th - July 20th)Summer Semester 2 (July 21st - September 14th)Fall Semester (September 15th - December 21st)
Select a Class Time*

Thursday's at 5PM (Ages 7+)Friday's at 5PM (Ages 7+)Saturday's at 10AM (Ages 7-11)Saturday's at 11AM (Ages 11+)Sunday's at 3PM (Ages 7+)Sunday's at 4PM (Ages 7+)
Student's Guardian*

First NameLast Name
Student Guardian's Email*
example@example.com
Student Guardian's Phone Number*
Please enter a valid phone number.
Add Another Email to Our Master Emailing List
example@example.com
How Did You Hear About Our Academy?*
Number Of Total Students Enrolling*
Academy Package For Students Enrolled*

My Products

Program MaterialsWhat's Included in the Starter Kit: - Metal Progress Tag - Progress Tracking Poster - Parent & Jr. Program Guide - Op36 Tees & Divot Tool - Op36 Ball Marker & Hat Clip - Valuables Pouch & Carabiner - OnCore Golf ball - Academy Hat

$75.00 Quantity

Recreation Package(4) 1 Hour Academy Classes Per Month

$120.00 Quantity

Challenge Package(4) 1 Hour Academy Classes Per Month (2) Operation 36 On Course Matches Per Month

$180.00 Quantity

Player's Package(4) 1 Hour Academy Classes Per Month (4) Operation 36 On Course Matches Per Month (2) 30 Minute Private Lessons

$300.00 Quantity

Academy PackageUnlimited Classes Unlimited Matches (4) 30 Minute Private Lessons

$500.00 Quantity

Total

$0.00

Payment Details
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Credit Card Number	Security Code
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