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 1 TO JULY 5 HALF DAYJULY 8 TO JULY 12 HALF DAYJULY 15 TO JULY 19 HALF DAYJULY 22 TO JULY 26 HALF DAYJULY 29, 30, 31 TO AUGUS 1, 2 HALF DAYAUG 5 TO AUGUST 9 HALF DAYAUG 12 TO AUGUST 16 HALF DAYAUG 19 TO AUGUST 23 HALF DAYAUG 36 TO AUGUST 30 HALF DAYSEPTEMBER 2 TO SEPTEMBER 8 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
