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:   _________________________________________________________


RANGE LESSON AT OASIS - Early Summer session week of June 12 - 14

Summer  Range Lesson (1 hr)        MONDAY    TUESDAY     WEDNESDAY     THURSDAY

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

JUNIOR GOLF MENTOR INSTRUCTIONAL PROGRAM - Early Summer starts week of June 19

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


RANGE LESSON AT OASIS - Late Summer session week of July 17 - 20

Summer  Range Lesson (1 hr)        MONDAY    TUESDAY     WEDNESDAY     THURSDAY

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

JUNIOR GOLF MENTOR INSTRUCTIONAL PROGRAM - Late Summer starts week of July 24

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


FALL RANGE LESSON AT OASIS

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

JUNIOR GOLF MENTOR INSTRUCTIONAL PROGRAM - FALL starts Saturday September 2

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

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OFFICIAL USE ONLY

AMT ____________________DATE  __________________

PAYMENT TYPE _________Received by______________