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New Junior Student Registration Form
First Name:
Middle Initial:
Last Name:
Birthday:
Street Address:
City:
State:
Zip Code:
Phone Number:
Email Address:
School:
Parent/Guardian:
Do you have: Golf Clubs   Golf Bag   Golf Shoes  
Golf Balls   Pull Cart   Gloves
Do you wish to participate in a Junior Golf Clinic? Yes   No
(Golf Clinics will be held for the following age categories: 6-8, 8-10, 13-15, 15 & up)

Select payment method: PayPal   Check
NOTE: Credit card payments through PayPal do not require a PayPal account.

Select Amount: $200: New Student Registration for 8 clinics ($35 registration, $165 for 8 clinics)
$185: New Student Registration for Weekly Summer Lessons (registration fee waived, $35 for 1 week)

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