GEORGIA JUNIOR GOLF ASSOCIATION
SUMMER CAMPS AGES 6 - 16
SUMMER CAMPS HELD AT PEACHTREE GOLF CENTER
1. Print out and complete the application as accurately and neatly as possible then follow the next two requests.
2. The completed application must be received by the Georgia Junior Golf Association, PMB 169, 11585 Jones Bridge Road, S-420, Alpharetta, GA 30022. You can scan and email to gking@gajrgolf.org.
3. Mailed application must be accompanied by a check, money order, faxed and scanned applications should have the credit card information with authorized signature. All checks payable to Georgia Junior Golf Association for $150.00. Extended Day $200.00
CAMP DATES:__________________
NAME:______________________________________________________________
D/O/B:____/____/____ AGE:______ SEX:__________
ADDRESS:___________________________________________________________
CITY: ____________________________STATE: _______________ ZIP: ________
PARENT/GUARDIAN:_________________________________________________
PHONE:______________________EMAIL:________________________________
EXPERIENCE: (Not Necessary)______________________________________
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MC/VISA__ DISCOVER___ AMEX___ Fee to be charged: $150.00 or $200.00. Card receipt will read NCGATOUR
CC#:_________________________________________________EXP.DATE:___________
NAME ON CARD:__________________________________________________________
AUTHORIZED SIGNATURE:_________________________________________________