Kapalua Junior Golf Academy 2019
Every Saturday, beginning May 4 - June 3, 2019. 12-1 PM. All levels. Ages 5-13.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age of Junior
*
5
6
7
8
9
10
11
12
13
14
15
16
17
Height in Inches
*
Gender of Junior
*
Male
Female
Skill Level
*
Beginner
Intermediate
Advanced
Number of Years Playing Experience
*
1 to 3
4 to 7
8+
Have you ever taken lessons before? If so how many/how often?
*
Do you need rental clubs?
*
Yes
No
Other sports you have played?
*
Any injuries or physical limitations?
*
Parent or Guardian Name
*
Parent on island contact phone
*
Parent email
*
Any allergies?
*
Please provide medical coverage of junior
Price:
*
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Kapalua Junior Academy
$
238.54
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Expiration Year
I agree to pay in full for the charges. The cancellation policy is 72-hours prior to the start of the camp for a full refund.
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