REGISTRATION FORM

							                                               REGISTRATION FORM

                                          JUNIOR GOLF CAMPS 2011




Parent’s Information

Last_______________________________________

First_______________________________________                                         Session I -   June 20–24
Address____________________________________                                            Session II - July 11-15
City_________________________Zip____________                                              Session III - July 25–29

Phone: h)______________w)__________________                                                 Session IV - August 8-12



Child’s name (s)

1._________________________________Age_____            Circle one: Beginner / Novice

2._________________________________Age_____            Circle one: Beginner / Novice

3._________________________________Age_____            Circle one: Beginner / Novice



                                                Circle Session (s) of interest

                                              Session 1 2               3        4
Fees: $249. per session per child. Please register soon, as camps fill quickly. Limited to12 students per camp. 10% off for
each sibling. Fill out and mail to: Golf Camp / Liberty Road Golf Center10810 Liberty Road Frederick, MD 21701

We will contact you to complete the registration / fee process. For inromation Call 301.898.3035



Loaner Clubs are provided at no cost !




CAMP DIRECTOR - MARK J. DILEY, PGA

                       LIFE MEMBER