Broadlands 2010 Junior Golf Advanced Program Registration FormStudent InformationStudent Name___________________________Parent Name(s)___________________________
Address_______________________________________
E-mail___________________________________
All announcements and tee times will be sent exclusively via e-mail in 2010.
Your e-mail address is safe and will not be used for any other purpose.
Phone__________________ Cell/Work Phone__________________
Age of student_____________________ Gender     M    F
Right or Left-handed?__________ Height ______________
Does student have golf clubs? (circle one)     Y     N
Junior Golf SchedulePlease circle dates and times below that the student wishes to participate.
League DaysThursdays 7:30 a.m. (please circle preferred dates)
6/17     6/24     7/1     7/15     7/22     7/29     8/5     8/12    8/19
Advanced Student LessonsLessons will be made by appointment only. An instructor will be assigned to each student on the first day of league play, June 17th.
Junior Championship Tournament - Monday, August 23rd at 7:00 a.m.
Entry in Championship Tournament includes:
Golf, range balls, championship awards & prizes and year end banquet lunch.
CostFull Summer Package-Advanced9 league days, 4 lessons and
Junior Championship entry
$210Half Summer Package-Advanced6 league days, 3 lessons and
Junior Championship entry
$170Basic Package-Advanced4 league days and 2 lessons
$110Package you wish to purchase (circle one below)
Basic     Half Summer     Full Summer
Cost of package purchased= Additional league days__________x $17.50 each= Additional individual lessons__________x $30 each= Entry in Junior Championship $30 if Basic Package is purchased = (Junior Championship is included in Full & Half Summer Packages) Total Fees Due =
| $__________ $__________ $__________ $__________
$__________ |
Completed registration form with payment must be returned by May 31, 2010 to assure all materials will be available at first league day.
Forms may be mailed to: 18 Augusta Way, North Prairie, WI 53153