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 4 TO JULY 8 HALF DAY (BEGINNER/ADVANCED)JULY 11 TO JULY 15 HALF DAY (BEGINNER/ADVANCED)JULY 18 TO JULY 22 HALF DAY (BEGINNER/ADVANCED)JULY 25 TO JULY 29 HALF DAY (BEGINNER/ADVANCED)AUG 2 TO AUGUS 5 HALF DAY (BEGINNER/ADVANCED)AUG 8 TO AUGUST 12 HALF DAY (BEGINNER/ADVANCED)AUG 15 TO AUGUST 19 HALF DAY (BEGINNER/ADVANCED)AUG 21 TO AUGUST 25 HALF DAY (BEGINNER/ADVANCED)AUG 28 TO SEPTEMBER 1 HALF DAY (BEGINNER/ADVANCED)EMERGENCY CONTACT INFORMATIONCONTACT #1 NAME *HOME TEL:CELL: *WORK TEL:CONTACT #2 NAME: *HOME TEL:CELL: *WORK TEL:METHOD OF PAYMENT:CASHINTERAC E-TRANSFERSUBMIT
