BUSHWOOD GOLF CLUB

JUNIOR GOLF APPLICATION 2017

     EARLY SUMMER JUNE 19 - JULY 20 Cost $175

     LATE SUMMER JULY 24 - AUGUST 24 Cost $175

     FALL FOUR SATURDAYS IN SEPTEMBER Cost $120


Child’s Name  ______________________________________ Gender -M- -F-   Age______

Address: _________________________________  City ___________________________

State  ____________________       Zip __________________

Home Ph. _________________________ Cell Ph. _____________________________

Email  _________________________________________________________________

Additional Information____________________________________________________

Requested Four Some:   _________________________________________________________

________________________________ —–  _______________________________


JUNIOR GOLF MENTOR INSTRUCTIONAL PROGRAM - Early Summer and Late Summer

Preferred Day (circle one)  MONDAY  TUESDAY  WEDNESDAY  THURSDAY

Preferred Tee Time (circle one)    9:00   9:10   9:20   9:30   9:40   9:50   10:00

2ND Preferred Day              MONDAY  TUESDAY  WEDNESDAY  THURSDAY

2ND Preferred Time              9:00   9:10   9:20   9:30   9:40   9:50   10:00

RANGE LESSON AT OASIS - Early Summer and Late Summer

Summer  Range Lesson (1 hr)        MONDAY    TUESDAY     WEDNESDAY     THURSDAY

Summer  Range Time  (circle one)       6:00 PM         7:00 PM


FALL RANGE LESSON AT OASIS

August 31, 2017 Range Time        6:00 PM         7:00 PM

JUNIOR GOLF MENTOR INSTRUCTIONAL PROGRAM - FALL

Fall  Saturday Preferred Time (circle one)    9:00   9:10   9:20   9:30   9:40   9:50   10:00

Please Note: Bushwood Golf Club , it”s Staff or Volunteers assume no responsibility whatsoever for any injury by the participant in the activity shown above. Inappropriate behavior may result  in the dismissal of the Golfer for a length of time to be determined by the Bushwood Management Staff.


Parent or Guardian Signature ________________________________  Date ______________________


* Please makes checks payable to Bushwood Golf Club

Check

One

OFFICIAL USE ONLY

AMT ____________________

DATE  __________________

PAYMENT TYPE _________

Received by______________

D ____

O ____

E ____

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