PETITCODIAC VALLEY GOLF AND COUNTRY CLUB
Junior /Learn to Play Registration Form
Golfer Name: _____________________________________
Current Age: ____________If age 7 or under , must be accompanied by parent or guardian.
Date of Birth: _____________
Parent Name: ___________________________________________
Parent Phone: Home_______________________________
Cell Phone:_________________________________________
Parent Email: ___________________________________________
***We need some parent volunteers as well****
Are you able to assist?_________________
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.***