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Bill Allen's After School Golf Lessons
Spring/Fall 2015 Registration Form

Pembroke Country Club, Pembroke, MA
 


Click here to print out this application, Complete the information below and
 mail it with payment to the address at the bottom.


Studentís Name: ______________________________________________   Age:  ____   (must be 5 at time of class) Sex: ____

Has Clubs: Yes ____  No ____     Plays:  Right ____Left____  Beginner: ____  Intermediate: ____

Address:  ____________________________________________________________________________________________

Emergency No.__________________ _________(a number for texting)_Email:__________________________________________

Please sign my child up for:   _________  age group (please insert age group)

SPRING After School Program - Tuesday      FALL After School Program  Tuesday   

          Note:    Please circle above the  program you want   Spring program costs $88.00  Fall program costs $99.00

FALL CLASS IS OPEN TO THOSE WHO HAVE TAKEN ANOTHER CLASS DURING THE GOLF SEASON.  ALL OTHERS WILL BE PUT ON THE WAIT LIST IN THE EVENT THE PROGRAM DOES NOT FILL UP.  ALSO:  PLEASE NOTE THAT THERE WILL ONLY BE 5 KIDS IN EACH AGE GROUP.



Printed Parents Name & Phone Number X___________________________ Parent's Signature X_________________________________________

The cost of the Spring program is $88.00 for the 4 weeks and cost of the Fall program is $99.00.. No refunds will be given for missed classes, unless the class is cancelled.      Please make check payable to BILL ALLEN GOLF, and mail along with the application to:

If mailed on or PRIOR to April 20 mail to:       Bill Allen Golf, 714 SW Munjack Circle, Port St. Lucie, FL 34986
If mailed AFTER April 20 mail to:                    Bill Allen Golf, P. O. Box 518, Foxboro, MA   02035

PLEASE NOTE THERE ARE NO REFUNDS.  ALSO THERE ARE NO MAKEUPS UNLESS THE CLASS IS CANCELED BY BILL ALLEN .    Any questions, please call BILL ALLEN at 781-910-3626. (Note: spaces are filled on a first come, first served basis at the time your check is received. Spaces will not be reserved without a check.)

Return to Pembroke Country Club After School Golf Program