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New Adult Student Registration Form
First Name:
Middle Initial:
Last Name:
Birthday:
Street Address:
City:
State:
Zip Code:
Phone Number:
Email Address:
Do you have: Golf Clubs   Golf Bag   Golf Shoes  
Golf Balls   Pull Cart   Gloves
Select payment method: PayPal   Check
NOTE: Credit card payments through PayPal do not require a PayPal account.

Select Amount: $65: One (1) Private Lesson
$175: Three (3) Private Lessons
$275: Five (5) Private Lessons
$500: Ten (10) Private Lessons
$800: Twenty (20) Private Lessons

Once you click the "Create Registration Form" button, a printer-friendly form will display. Please check for inaccurate information before submitting.



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At-Par Investment Group Golf Program and Junior Golf Program