Junior Golf Camp

Registration Form

Today's Date:

Enter dates of Camp Session you want to attend:

    You must register to attend - Maximum 20 students per session

    ALL INFORMATION IS REQUIRED!

PLEASE RETURN FORM BY EMAIL AND SEND CHECK, OR MAIL FORM WITH CHECK TO: SANDRA ERIKSSON, DELRAY BEACH GOLF CLUB, 2200 HIGHLAND AVE., DELRAY BEACH FL 33445-8701

  NAME                 NICKNAME 

     GENDER:   BOY   GIRL    AGE:             

    CHILD SWINGS  RIGHT-HANDED  OR  LEFT-HANDED

    ADDRESS                  

    CITY     STATE   ZIP

    DAY PHONE    EVENING PHONE

    CELL PHONE    EMERGENCY PHONE 

    CONTACT IN CASE OF EMERGENCY:

    EMAIL ADDRESS:   

    METHOD OF PAYMENT:   CASH   CHECK  

     CHECK NUMBER    AMOUNT:  $

    MAKE CHECK PAYABLE TO:  SANDRA ERIKSSON

  EMAIL: SE@MYDELRAYBEACH.COM  WWW.DELRAYBEACHGOLFCLUB.COM