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Important:
Carlton Oaks Junior Golf Academy SIGN-UP FORM
Sign-up Form and Notice of Limitations / Allergies, etc. (if you have more than 1 child you would like to enroll, please fill-out a separate form for each child)
* Indicates required question
Email
*
Record my email address with my response
Child's
FIRST
Name
*
Your answer
Child's
LAST
Name
*
Your answer
Child's
Date of Birth
(if you have trouble inputting the answer here, skip to next question where you can Type in the answer)
MM
/
DD
/
YYYY
Child's
Date of Birth
(if you had trouble above, please type your Child's Date-of-Birth here)
Your answer
Child's current AGE
*
Your answer
Parent #1
-
FIRST
Name
*
Your answer
Parent #1
-
LAST
Name
*
Your answer
Parent #1
- Cell-Phone #
*
Your answer
Parent #1
- Email address:
Your answer
Parent #2
-
FIRST
Name
Your answer
Parent #2
-
LAST
Name
Your answer
Parent #
2
- Cell-Phone #
Your answer
Parent #
2 -
EMAIL
Your answer
EMERGENCY Contact #1
NAME
(First, Last)
*
Your answer
EMERGENCY Contact #1
Cell-phone #
Your answer
EMERGENCY Contact #1
Email
Your answer
EMERGENCY Contact #1
Relationship to Child
(Grandparent_Family friend_etc.)
Your answer
Special Instructions / Limitations. PLEASE LET US KNOW ABOUT ANY:
1) *Physical Limitations?
2) *Allergies?
3) *Any other issues regarding your child we need to know?
If NONE please type "NONE" or "NA"
(for Not Applicable)
*
Your answer
Send me a copy of my responses.
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