Junior Camp Registration Form CAMPER FIRST NAME *CAMPER LAST NAME *DATE OF BIRTH (DD/MM/YYYY): *T-SHIRT SIZE: *CITY/TOWN: *POSTAL CODE: *GENDER: *MALEFEMALEPARENT/GUARDIAN NAME: *HOME TEL:CELL: *WORK TEL:E-MAIL ADDRESS: *WILL THE CAMPER BE BRINGING THEIR OWN GOLF CLUBS?YESNOIF NO, GOLF CLUBS WILL BE PROVIDED. IS THE GOLFER.THE PLAYER ISRIGHT-HANDEDLEFT-HANDEDHAS THE CAMPER ATTENDED JUNIOR GOLF CAMP BEFORE?YESNODOES THE CAMPER HAVE PREVIOUS GOLF EXPERIENCE?0 TO 1 YEARS2 TO 3 YEARS4 YEARS+ARE THERE ANY MEDICAL ISSUES/ALLERGIES THAT WE SHOULD BE AWARE OF? (PLEASE BE SPECIFIC)IS THERE ANY OTHER INFORMATION OR SPECIAL REQUESTS THAT WILL HELP US MAKE THE MOST OF THE CAMPER’S EXPERIENCE?HOW DID YOU HEAR ABOUT LM GOLF SCHOOL JUNIOR GOLF CAMP?CAMP SELECTIONJULY 6 TO JULY 10 HALF DAY/FULL DAYJULY 13 TO JULY 17 HALF DAY/FULL DAYJULY 20 TO JULY 24 HALF DAY/FULL DAYJULY 27 TO AUGUS 31 HALF DAY/FULL DAYAUG 3 TO AUGUST 7 HALF DAY/FULL DAYAUG 10 TO AUGUST 14 HALF DAY/FULL DAYAUG 17 TO AUGUST 21 HALF DAY/FULL DAYAUG 24 TO AUGUST 28 HALF DAY/FULL DAYEMERGENCY CONTACT INFORMATIONCONTACT #1 NAME *HOME TEL:CELL: *WORK TEL:CONTACT #2 NAME: *HOME TEL:CELL: *WORK TEL:METHOD OF PAYMENT:CASHINTERAC E-TRANSFERSUBMIT
