Register Registration Form Step 1 of 3 - Student Information 0% Student Name* First Last Date of Birth* MM slash DD slash YYYY Does Your Child Have Golf Clubs?*YesNoSign-Up For*Junior Golf Academy - $100/moAdult Golf Clinic - $150/moMental Performance Coaching $35 Parent/Guardian Name* First Last Parent/Guardian Phone*Parent/Guardian Email* Address* Street Address City ZIP / Postal Code Emergency Contact Name* First Last Emergency Contact Phone*