Broadlands 2008 Junior Golf Developmental Program Registration Form


Student Information

Student Name___________________________Parent Name(s)___________________________

Address_______________________________________

E-mail___________________________________
All announcements and tee times will be sent exclusively via e-mail in 2008.
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

Golfing Experience

RETURNING STUDENTS please circle your current skill level below:

Level 1-Green    Level 2-Yellow    Level 3-Red

NEW STUDENTS please describe the student's golf experience below:

9 hole rounds of golf played(circle one)     0     1-5     5-15     15-25     25+

Tees used on the golf course (circle one)     N/A     Women's     Senior's     Men's

Average 9 hole score:_________________

How far can the student hit the ball in the air with a 7 iron?(circle one below)

Don't know     Less than 25 yards     25-50 yards     50-100 yards     100+ yards

Junior Golf Schedule

Please circle dates and times below that the student wishes to participate.

Practice Days

Wednesdays 8:00 a.m. or 10:00 a.m. (please circle preferred time & dates)
6/18     6/25-10:00 is full     7/9-10:00 is full     7/16-10:00 is full     7/23-10:00 is full     7/30-10:00 is full     8/6     8/13-10:00 is full    8/20

Thursdays 8:00 a.m. or 10:00 a.m. (please circle preferred time & dates)
6/19     6/26     7/10-8:00 is full     7/17     7/24     7/31-8:00 is full     8/7-8:00 is full     8/14    8/21

Golf Days - Morning tee times will be e-mailed the week prior. (please circle dates)

Monday, June 23rd
Monday, June 30th
Tuesday, July 8th
Monday, July 21st
Tuesday, August 5th

Junior Championship Tournament - Monday, August 18th at 8:00 a.m.

Entry in Championship Tournament includes:
Golf, range balls, championship awards & prizes and year end banquet lunch.

Cost

Full Summer Package-Developmental

9 practice days, 4 golf days and
Junior Championship entry $190

Half Summer Package-Developmental
6 practice days, 3 golf days and
Junior Championship entry $160

Basic Package-Developmental
4 practice days and 2 golf days $105

Package you wish to purchase (circle one below)

Basic     Half Summer     Full Summer




Cost of package purchased=
Additional practice days__________x $17.50 each=
Additional golf days__________x $17.50 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, 2008 to assure all materials will be available at first practice day.
Forms may be mailed to: 18 Augusta Way, North Prairie, WI 53153



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