PNWGA Junior Academy Registration

PNWGA Junior Academy Registration
JUNIOR INFORMATION
Junior’s Name:

First NameLast Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade for 2026-2027 School Year:
Program Interest (select all that apply):
Current or Previous PNWGA Coach:
Sibling Placement Needed?
Sibling’s Name:
Matching Schedules Required?
PARENT INFORMATION
Parent/Guardian Name:

First NameLast Name
Email Address:
example@example.com
Mobile Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method:
EXPERIENCE & ABILITY
Course Experience:
Current Ability:
Notes: Experience & Ability
LOCATION & FREQUENCY
Location Preference:
Desired Frequency:
What should we do if your preferred choices are unavailable?
Flexibility Level:
Notes: Location & Frequency
ISSAQUAH AVAILABILITY
Select every Issaquah time that could consistently work for your junior from January–May. Fall waitlist families may also indicate their general availability.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Notes: Issaquah Availability
SEATTLE AVAILABILITY
Select every Seattle time that could consistently work for your junior from January–May. Fall waitlist families may also indicate their general availability.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Notes: Seattle Availability
REQUIRED ACKNOWLEDGMENTS
Acknowledgment of placement terms:
I understand that once my Junior’s academy placement is confirmed, I will be billed monthly for the duration of the program.
Should be Empty: