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 7 TO JULY 11 HALF DAYJULY 14 TO JULY 18 HALF DAYJULY 21 TO JULY 25 HALF DAYJULY 28 TO AUGUS 1 HALF DAYAUG 4 TO AUGUST 8 HALF DAYAUG 11 TO AUGUST 15 HALF DAYAUG 18 TO AUGUST 22 HALF DAYAUG 25 TO AUGUST 29 HALF DAYEMERGENCY CONTACT INFORMATIONCONTACT #1 NAME *HOME TEL:CELL: *WORK TEL:CONTACT #2 NAME: *HOME TEL:CELL: *WORK TEL:METHOD OF PAYMENT:CASHINTERAC E-TRANSFERSUBMIT
