Harpeth Valley Golf Center

Harpeth Valley Golf Center
2012 Summer Golf Camp
Featuring Vikki Chandley

(Junior Golf Camp or Pee Wee Camp)

First: Click Here and print the Medical Release Form.
Second: Fill the boxes below and click on process.

(If you have trouble signing-up, please don't hesitate to call 646-8858)

Student's Name:

Age:

Boy:
Girl:

When your Junior will attend:

-- Junior Camps (ages 9-15) -- MONDAY THROUGH FRIDAY 9:00 A.M. TO 5:00 P.M.
	Week 1	June 11 - June 15
	Week 2	June 18 - June 22
	Week 3	June 25 - June 29
	Week 4	July 9 - July 13

-- Pee Wee Camp (ages 6-8) -- MONDAY THROUGH FRIDAY 9:00 A.M. TO Noon
	Pee Wee	July 16 - July 20

Parent's Name:

Home Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Emergency Phone:

Any physical or medical issue of which we should be aware:

Email:

Charge the $100 deposit to your credit card now.

- Deposits may be refunded up to two weeks prior to the start of camp week.

Charge the $349 Junior Camp Payment in Full to your credit card now.
Charge the $159 Little Bits Camp Payment in Full to your credit card now.

Add Club Rental $25

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