Registration Form

2026 Junior Golf Night Camps Registration Form

Junior Information

Juniors Name: ______________________________________________________

DOB (mm/dd/yyyy): __________________________________________________

Address: ___________________________________________________________

City/Town: _______________________               Postal Code: _______________

Golf Experience: ____________________________________________________

Favorite Golfer: _____________________________________________________

Allergies/Medical Conditions: ________________________________________

___________________________________________________________________

Camp Dates- (Circle required camp)

June Monday Camp (ages 6-9)                                                        June Tuesday Camp (Ages 10-14)

6:00pm-7:30pm                                                                                            6:00pm- 7:30pm

June 8^th, June 15^th, June 22nd                                                                 June 9^th, June 16^th, June 23rd

Cost: $75                                                                                                        Cost: $75

• Camps, include introduction to golf lessons with range and putting green time
• No Course time included.
• Camps will be limited to 8 Jr.’s
• First come first serve basis
• To register and secure spot, please fill out the registration form and submit by email to [email protected] or in person in the clubhouse
• Once form received you will receive payment details for immediate payment.

Emergency Contact

Parent/ Guardian Name: _________________________________________

Phone Number: __________________     Relationship: ________________

Email: (for sign up/ updates): _____________________________________

For any questions, please feel free to contact the Pro shop at (519) 271-0214, or reach out to Kyle Brodhagen- General Manager at [email protected].

*If link to form does not work. Please reach out to Kyle and he will email you a form.