Registration Form

Name:
_______________________________
Age:   ____ as of June 24th
Mailing Address:
_______________________________
_______________________________
_______________________________
_______________________________
Parent or Guardian:
_______________________________
Relationship:
_______________________________
(Parent/Guardian signature is required and promises to 
assume full responsibility for the behavior and actions 
of the child while at Pine Valley Golf Course)

Signature:
_______________________________

Junior Golf Program: June 24th - July 29th
Skill Level (circle one)
Pro (age 11+ with experience): Start Time: 8:30 AM - 12:00 PM, Cost: $110
Amatuer (age 7-10 beginner): Start Time: 9:35 AM - 12:00 PM, Cost $80

Junior Golf Camp: June 16th - June 20th (no camp Thurs.)
9:00 AM - 12:00 PM, Cost: $110

Please Indicate Which Session or Both
Junior Camp ____  Junior Program ____
T-Shirt Size: Youth: S M L XL, Adult: S M L XL
(if in camp & program will receive only 1 shirt)

Please make checks payable to:
Pine Valley Golf Course
Attn: Junior Golf
402 128th Ave.
Marathon, WI 54448