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2019 Twin Lakes Boys Golf Camp
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* Indicates required question
Son/Participants Full Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Fathers/Gaurdian Name
*
Your answer
Mother/Gaurdian Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Email Address- Father/Guardian
*
Your answer
Email Address- Mother/Guardian
Your answer
Work Email- (optional)
Your answer
Father/Guardian Cell Phone #
Your answer
Mother/Guardian Cell Phone"
Your answer
Home Phone
Your answer
Emergency Contact (other than Parents/Guardians)
Your answer
Emergency Contact Phone #
Your answer
School Attended during 2018/2019
*
Loncoy Elementary
Holden Elementary
Davey Elementary
Walls Elementary
St. Patricks School
Staton Middle School
Other:
Grade your son will be entering in the fall of 2019
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2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
How did you hear about this program?
*
Daughter has participated in the past
Family/Friends
Website
School
Social Media
Other:
Would you like your son to participate in the Li'l Kids Junior Amateur?
*
Yes
No
Maybe
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