Student Information:
Name of Student:
Age
Tee Shirt Size (Prep, Par, Birdie, Eagle camps only):		na YM YL AS AM AL AXL AXXL
Right / Left Hand:		Right Hand Left Hand
Own Clubs:		Yes No
Name of Contact: (parent if student is under 18)
Home Phone:
Cell Phone:
Email:

CLINIC SELECTIONS:
Wednesday Ladies Instructional Clinics    $30 per session		To Purchase, Choose Session Here September 15 September 22 September 29 October 6 October 13 October 20 October 27
Wednesday Ladies On Course Clinics    $60 per session		To Purchase, Choose Session Here September 15 September 22 September 29 October 6 October 13 October 20 October 27
Ladies 1 1/2 Hour Friday Afternoon Range/On Course Clinic    $60 per session		To Purchase, Choose Session Here September 17 September 24 October 1 October 8 October 15 October 22 October 29
Women's Weekend Clinic    $30 per session		To Purchase, Choose Session Here September 18 October 2 October 16 October 30
Senior Men's Weekend Clinic    $30 per session		To Purchase, Choose Session Here September 18 October 2 October 16 October 30
JUNIOR CLINICS:
Swing FORE Life TPI Active Start Class - Ages 2, 3, 4 (3 Classes)    $75 per student		To Purchase, Choose Session Here September 11, 18, 25 (Rain date-September 26) October 2, 9, 16 (Rain date-October 23)
Swing FORE Life TPI Swinging in the Sand Box Clinic - Ages 9 and under - (3 Classes)    $125 per person		To Purchase, Choose Session Here September 11, 18, 25 (Rain date-September 26) October 2, 9, 16 (Rain date-October 23)
Swing FORE Life TPI 2 Day Bogey School - Ages 9 to 17 -     (2 Classes)    $175 per person		To Purchase, Choose Session Here September 25 & 26 October 9 & 10 October 16 & 17 October 30 & 31
Fall After-School Golf Program    $295 per class		To Purchase, Choose Session Here Tuesday Class

Special Requests: (ie., Limited Sun, Allergies, etc.)

PAYMENT OPTION #1 - (HOUSE ACCOUNT): (To charge your registration to your membership house account, enter your 5 digit membership number)
Membership #:
PAYMENT OPTION #2 - (CREDIT CARD): (Information below must match info on credit card)
Name
Address1:
Address2:
City:
State:
Zip:
Telephone:
For your convenience we accept:
Credit Card:		- American ExpressMastercardVISA
Credit Card #:
Expire Date:		- MM-YY

Clinic Cancellation Policy:
Your credit card will be used to hold your spot in the clinic and will be billed one week prior to the first clinic date. Any cancellations received one week prior to the first clinic date will NOT be charged. Cancellations received after the one week prior date, but at least 3 days prior to the first clinic date will be credited back the full amount in Golf Academy credit. Any cancellation received 3 days prior to the clinic will be credit back 50% Golf Academy Credit. No shows will be charged in full, without the opportunity to reschedule.

Camp Cancellation Policy:
Registration on a first come basis. Sessions will be closed out as they fill to capacity. Early registration for camps is suggested. Withdrawal or change in arrangements of any kind must be submitted in writing and received before May 1, 2010. Refunds for payments will be issued in full, less a $100 administrative fee. No refunds, reductions, allowances or credits against fees paid or due will be made after May 1, 2010 for any reason including cancellation, late arrival, early withdrawal or dismissal of camper. Swing FORE Life reserves the right to dismiss, without refund, any camper whose influence is deemed detrimental to the camp.

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