PETITCODIAC VALLEY GOLF AND COUNTRY CLUB
Junior /Learn to Play Registration Form
Golfer Name: _____________________________________
Contact Information:
Home Phone:______________________________
Cell Phone: ________________________________
Mailing Address: ____________________________
__________________________________________
Current Age: ____________If under 6, must be accompanied by parent or guardian.
Date of Birth: _____________
Parent Name: ___________________________________________
Parent Contact Information: _______________________________
Cell Phone:_________________________________________
Parent Email: ___________________________________________
Golf History:
Do you golf Left handed ___________or Right____________
Do you have own clubs? Yes or No
What would you consider your skill level?
Beginner (no experience)________
1-2 years’ experience____________
3-4 years’ experience ________________
Over ________________________
Payment made at time of registration: Yes or No
***Please attach receipt to form.***