BIRDIE BASICS REGISTRATION FORM
How Many Students Are You Enrolling?
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Please Select
1
2
3
Select a Semester
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Winter Semester (January 12th - March 8th)
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Please Select A Class Time For Your Family
Friday's @6pm
Saturday's @1pm
Saturday's @2pm
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Student Guardian Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Student Information
Name
*
First Name
Last Name
Age
*
Name
First Name
Last Name
Age
Name
First Name
Last Name
Age
What is the student's experience level?
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Beginner
Intermediate
Advanced
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Add Another Email to the Academy Email List
Name
First Name
Last Name
Email
example@example.com
Name
First Name
Last Name
Email
example@example.com
Name
First Name
Last Name
Email
example@example.com
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How Did You Hear About Our Academy?
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Any Other Comments or Questions?
By signing below, I acknowledge that I have read and agree to all policies of Cypress Golf Academy, including the refund, cancellation, and billing policies.
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