Golf Camp sign up

Golf sign up form

Child's Name(Required)

First Last

The name your child goes by:(Required)

Child's DOB(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Name(Required)

First Last

Cell Phone(Required)

Home Phone

Work Phone

Email address(Required)

Can your child be photographed/videoed?(Required)

Yes

Has your child or anyone else in your household been exposed to Covid-19?(Required)

Yes

Has your child, or anyone in your household displayed any symptoms of COVID-19 in the last 14 days?(Required)

Yes

Has your child, or anyone in your household traveled outside the US in the last 14 days?(Required)

Yes

Please tell us anything that is important about your child:(Required)

Please list any allergies or medical conditions that we should be aware of:(Required)

Emergency Contact #1(Required)

First Last

Emergency Contact #1 Cell phone(Required)

Relationship to child(Required)

Emergency Contact #1 Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact #2 Name(Required)

First Last

Emergency Contact #2 Cell Phone(Required)

Relationship to Child(Required)

Emergency contact #2 Address(Required)

Street Address Address Line 2 City State ZIP Code