Junior Golf Registration Form

   Registration Form (Complete one for each child)

    Name_________________________ Age _______

    Daytime Phone ____________  

    Address ____________________________

    City __________________ State _________  

    Parent’s Name ____________________________

    Emergency Phone Number(s) ___________  

    Please Check:  � School 1   � School 2   � School 3 

    � League  

    Cash or Check only.  Make checks payable to River Glen CC. 

    Amount Paid: ____________

    (Pay league fee only after Pro approval is given. Green fees are due at check in.)

 Approved by_{________________________________________}