JUNIOR GOLF PROGRAM
DISCOVERY GOLF
ENROLLMENT FORM

JUNIOR GOLFER'S NAME
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FIRST                          LAST

JUNIOR’S GOLF/ATHLETIC EXPERIENCES AND OTHER INTERESTS
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(USE BACK TO PROVIDE FURTHER DETAILS)

PARENTS NAME/CONTACT INFORMATION
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FIRST                          LAST
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      HOME                      WORK                            CELL

EMAIL ADDRESS
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SELECT SESSIONS ($400 FOR EACH SESSION)
1.□ 2.□ 3.□ 4.□ 5.□ 6.□ 7.□ 8.□ 9.□ 10.□

CREDIT CARD INFORMATION
____________________________________________EXPIRES___________________

*PLEASE MAIL TO TEE TO GREEN P.O. BOX 735 MONTAUK, NY 11954
(631)668-1100