Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneNumber of PlayersDatesFriday June 5th @ 9pmFriday July 3rd @ 9pmFriday July 17th @ 9pmFriday July 24th @ 9pmFriday August 7th @ 8:40pmFriday August 21st @ 8:15pmFriday September 11th @ 7:40pmPayment Type - $65 per player per session Check - Make payable to Pinch Brook Golf Course. Please mail to Pinch Brook with completed form (234 Ridgedale Ave., Florham Park, NJ 07932)Credit Card - please input information belowPayment For credit card payments, the charge will be processed upon receipt and completion of this form. Please note a 3.5% surcharge does apply.Name on Credit CardCredit Card NumberExpiration DateSecurity Code Credit Number player I understand and agree to abide by the following: Payment Policy: Payment for the full amounts 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/debit card. This fee covers the cost of credit card transactions and is non-refundable. Cancellation Policy: All cancellations must be in writing and submitted to bcheco-torres@kempersports.com. Cancellations received two weeks before the date of the program will be honored. Submit
