Summer Camp Registration Form
We are so excited that your junior will be joining us for camp this summer! We have been working hard to make this year's camp one to remember. Camps run Monday - Thursday from 9:30am-12:00pm. To register for your desired week, please fill out and submit the form below! If you have any questions, please feel free to emails us at info@evergreengolfclub.com
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 2024):
*
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
Photo permission:
*
Yes
No
Please select camp week:
*
Discount Code:
Total:
Summer Camp 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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USD
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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