Online Registration

Parent Name *

First

Last

Parent Email *

Email

Confirm Email

Parent Phone *

Parent Alternate Phone

Copy of birth certificate must be provided for all 8 year old – junior campers prior to 1st session.

Camper Name *

First

Last

Age: *

Gender *

• Male
• Female

Any Allergies? *

• Yes
• No

Indicate Medication Required & Type, if Any

Camper Name

First

Last

Age:

Gender

• Male
• Female

Any Allergies?

• Yes
• No

Indicate Medication Required & Type, if Any

Camper Name

First

Last

Age:

Gender

• Male
• Female

Any Allergies?

• Yes
• No

Indicate Medication Required & Type, if Any

Requested Clinic Dates: *

• Session #1: June 23 – June 27
• Session #2: June 30 – July 4
• Session #3: July 7 – July 11
• Session #4: July 14 – July 18
• Session #5: July 21 – July 25
• Session #6: July 28 – August 1
• Session #7: August 4 – August 8
• Session #8: August 11 – August 15
• Session #9: August 18 – August 22

Do Any Campers Require Golf Clubs to Borrow for the Week? $50/WEEK *

• Yes
• No

If Yes, please complete section below

Camper's Name

First

Last

LH or RH

• LH
• RH

Height in Inches

Camper's Name

First

Last

LH or RH

• LH
• RH

Height in Inches

Camper's Name

First

Last

LH or RH

• LH
• RH

Height in Inches

Emergency Contact (If Any Other Than Above)

Additional Notes if Any

I hereby release the staff, camp management, and Pin High Golf Management of any liability or illness incurred while at the camp. I will be financially responsible for any medical attention received at camp. *

• Checked

I will be financially responsible for any medical attention received at camp. *

• Checked

Registration is not guaranteed until payment.

Phone

Submit

All credit card charges subject to 3.99% processing fees.

Two-weeks’ notice required for refunds due to cancellation of reservation; subject to a 10% administrative fee, up to June 1^st. 

NO REFUNDS IN FULL AS OF JUNE 1^st.

As of June 1^st, refunds limited to 50% with 2 weeks’ notice; No refunds with less than 2 weeks’ notice. 

No refunds due to rain cancellations, rain dates available upon request and subject to availability.