Fourth Round Spring Golf Camp Registration
March 25th- April 12th
Personal Details
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Year
Shirt Size
*
Please Select
S
M
L
XL
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cellphone Number
-
Area Code
Phone Number
Contact E-mail
*
Do you have your own set of golf clubs?
Yes
No
Are you a lefty or a righty
Lefty
Righty
Sign Up Dates
Which dates would you like to attend?
Week 1 (March 25th- March 29th)
Week 2 (April 1st- April 5th)
Week 3 (April 8th- April 12th)
Experience Level
Please let us know the golf experience of your camper! (Include handicap if possible)
What aspect of your game do you want to improve the most?
Emergency Contact Details
Name of Emergency Contact
*
Must be available 24 hours a day during the camp
Relationship to you
*
Phone Number
-
Area Code
Phone Number
Work Phone
Cell Phone
*
Medical Details
Specify any conditions that may effect you during camp and require special care:
Medical conditions
Medication - Specify any medication that you may be taking during camp:
Dietary
Dietary Requirements - vegetarian, dairy-free, nut-free, gluten-free, other food allergies etc:
Payment
How will you be paying?
Zelle
Venmo
Cash
Save
Submit
Should be Empty: