After School Registration For Golf at International junior Golf acdemy

Student Name*
First Last
Date of Birth*
Age*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Region*
Gender*
- Male
- Female
Handicap
Shirt Size
- Extra Small
- Small
- Medium
- Large
- Extra Large
Parent / Guardian Name*
First Last
Parent / Guardian Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to the Student*
Parent / Guardian Email 1
Parent / Guardian Email 2
Parent / Guardian Phone*
Program Details:
Training June 11 to 15 — $795
Arrival on June 10th — Depart on June 16th
Program is limited to the first 50 registrants. Once full, alternate weeks may be available on space available basis.
First Tee Program
Total
$0.00
Payment Information:
50% payment due upon registration and balance due 2 weeks prior to the start of program. All students must have a credit card on file for emergencies prior to start of program. Our cancellation program allows for students to reschedule any unused portion of the program at another time.
Card Type*
Card Number*
Name as it appears on card*
Expiration Date*
MM/YYYY
Card Security Code*
Billing Zip/Postal Code*