Please enable JavaScript in your browser to complete this form.Name *FirstLast2nd Person Name *FirstLastCard Holder Number **Located on the back of your county card*Card Holder Number (2nd Person) **Located on the back of your county card*Phone *2nd Person PhoneEmail *2nd Person EmailPayment - $190/Team of 2Please note that registration spots are held only after payment is received. For credit card payments, the charge will be processed upon receipt and completion of the registration form.Payment Amount (Please Check One) *$190/TEAM OF 2Name on Credit Card *Credit Card Number * Phone Payment you Expiration Date *Sec. Code *If you wish to be paired up with another twosome please list the names belowI understand and agree to abide by the following: Payment Policy: Payment for the full program(s) must be included. Payments will be processed upon receipt. Insufficient funds, returned check or refused credit card charge will incur a fee of $20. Please be advised that a 3.5% processing fee will be applied to all online registrations paid by credit card. This fee covers the cost of credit card transactions and is non-refundable. Cancellation Policy: The program may be cancelled due to lack of the minimum number of participants required. All cancellations must be in writing and submitted to the address below. Cancellations received two weeks before the date of the program will be honored. No shows will forfeit 100% of the program fee. Additional Acknowledgements: By completing this registration form you consent to participate in the above golf clinic and acknowledge that you are doing so at your own risk. Staff may take photos or videos during the event for promotion. If you don’t want your image used for anything other than instruction, please inform the staff that day. Register
