Girl's Golf Day

Thank you for Registering your Junior!
Encourage, Enrich, Empower, Engage, Exercise!

Junior's Name *

Your answer

Junior's Age *

Grades 1st-5th

Grades 6th-12th

Required

What is your Junior's Experience Level? *

Beginner

Intermediate

Advanced

Parent's Name *

Your answer

Email Address *

Your answer

Phone Number *

Your answer

Additional Emergency Contact and Phone Number *

Your answer

Medical Release *

I approve of my child's attendance at KMP Golf's "Girls Golf Day" clinic and certify that she is in good health and able to participate in golf activities. In case of accident, injury or sickness Southwood Golf Club personnel have my permission to use their best judgement in the care of my child.

Required

Photo Release

I approve of my child's photo being used for Marketing Purposes for KMP Golf and Pink Links Junior Tour.

Payment *

I understand that filling out this form does NOT reserve my child's spot in this clinic - the spot will only be held after I pay.

Required

Payment Method *

I will pay via Venmo to Kayla Pun @KMPGolf

I will pay via credit card at https://squareup.com/store/kmp-golf (NOTE: You will be redirected after submitting this form)

I will pay by mailing a check to KMP Golf at 4209 Summertree Drive, Tallahassee, FL 32311

Electronic Signature *

Your answer

Date

YYYY

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