Broadlands 2010 Junior Golf Developmental Registration Form (Beginners)Student 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
Golfing ExperienceRETURNING STUDENTS please circle your current skill level below:
Level 1-Blue 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 SchedulePlease circle dates and times below that the student wishes to participate.
Practice DaysWednesdays 8:00 a.m. or PRACTICE IS FULL at 10:00 a.m. (please circle preferred time & dates)
6/16 6/23 6/30 7/14 7/21 7/28 8/4 8/11 8/18
Thursdays 8:00 a.m. or 10:00 a.m. (please circle preferred time & dates)
6/17 6/24 7/1 7/15 7/22 7/29 8/5 8/12 8/19
Golf Days - Morning tee times will be e-mailed the week prior. (please circle dates)
Monday, June 21st
Monday, June 28th
Tuesday, July 6th
Monday, July 19th
Monday, August 9th
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.
Cost
Full Summer Package-Developmental9 practice days, 4 golf days and
Junior Championship entry
$210Half Summer Package-Developmental6 practice days, 3 golf days and
Junior Championship entry
$170Basic Package-Developmental4 practice days and 2 golf days
$110Package 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, 2010 to assure all materials will be available at first practice day.
Forms may be mailed to: 18 Augusta Way, North Prairie, WI 53153