Parent Information
Please keep this portion
Call 610-666-9000
Fax in your Application to: 610-666-7100

Summer Golf Camp
Oaks Location

Our camp will introduce your child(ren) between the ages of 7 and 16
to the fundamentals of the golf swing, chipping, putting and bunker play
in a fun and safe atmosphere. The academy uses V1 Golf Analysis Software
which allows us to view, analyze, diagnose and fix faults with your childs
swing simply and precisely.

We will host 7, 5 Half-day sessions beginning
June 16th .
You will drop-off your child at 9:00am and pick them up at 12:00pm.

Fee: $180/week

($50 non -refudable deposit per week is required to register)

10% Discount

If Booked by March 15th 2008

Golfer Name: ______________________________________

Age: ______________________________________________

Address: _____________________________________________

Experience: _________________________________________ (please write beginner, intermediate, or competitive)

Parent (Guardian) Name: _____________________________________________________

Home Phone: __________________________________________
Cell/Work Phone:________________________________________

Parent Email Address: ____________________________________________

Special Health Need / Special Requests:
Please let us know if your child has any health issues we need to address.

________________________________________________________

________________________________________________________

Emergency Contact Person: ________________________________

Phone: ______________________________

(Register over phone by calling: 610-666-9000)

Select Week(s)

I hereby certify that my child is in normal health and capable of safe participation in the youth sports program. I assume all risk(s) and hazards incidental to the conduct of this program and for the transportation to and from this program. I hereby authorize Par Breakers Golf Academy to obtain medical treatment for my child in the event that the parent/emergency contact cannot be reached.

Parent (Guardian) Signature: __________________________________

Date: ___________________________________________________

Daily Agenda