SWING & SWIM JUNIOR CAMP
AT ASHLEY PLANTATION COUNTRY CLUB
JUNE 24-28 JULY 8-12 JULY 22-26 $225 PER CHILD
FOOD ALLERGIES:
MEDICAL CONCERNS:
GOLF EXPERIENCE: NONE SOME LOTS
SWIMMING EXPERIENCE: NONE SOME LOTS
NEED CLUBS? LEFT-HANDED IF YES, PLEASE CIRCLE ONE: NO YES
FOOD ALLERGIES:
MEDICAL CONCERNS:
GOLF EXPERIENCE: NONE SOME LOTS
NEED CLUBS?
SWIMMING EXPERIENCE: NONE SOME LOTS
LEFT-HANDED IF YES, PLEASE CIRCLE ONE: NO YES RIGHT-HANDED
FOOD ALLERGIES:
MEDICAL CONCERNS:
GOLF EXPERIENCE: NONE SOME LOTS
SWIMMING EXPERIENCE: NONE SOME LOTS
NEED CLUBS? LEFT-HANDED IF YES, PLEASE CIRCLE ONE: NO YES RIGHT-HANDED
PLANTATION
FIRST
CAMPER #1
NAME CAMPER INFORMATION:
LAST
CHOOSE
AGE/DOB
CAMP DATES: PRICE:
NAME
ONE M F
RIGHT-HANDED
FIRST NAME CAMPER #2 LAST NAME CHOOSE ONE
AGE/DOB
M F
FIRST
CAMPER #3 LAST NAME CHOOSE ONE
AGE/DOB
NAME
M F
FULL NAME CLUB MEMBER? Y N PAYMENT: CHECK NAME ON CARD IF PAYING BY CREDIT CARD: CARD NUMBER EXP. / / PARENT/GUARDIAN CONTACT: STREET ADDRESS CITY STATE ZIP EMAIL ADDRESS PHONE # EMERGENCY
NAME RELATION PHONE #
IS 3PM FROM THE POOL — AFTER-CAMP CARE IS AVAILABLE UNTIL 5:30PM MONDAY NAME PHONE # INITIAL AT PICKUP NAME RELATION PHONE # CREDIT CARD CHARGE MY CLUB ACCOUNT MAKE PAYABLE TO “ASHLEY PLANTATION CC” TUESDAY NAME PHONE # INITIAL AT PICKUP WEDNESDAY NAME PHONE # INITIAL AT PICKUP
NAME PHONE # INITIAL AT PICKUP
NAME PHONE # INITIAL AT PICKUP
CONTACT INFORMATION:
PICKUP INFORMATION: PICKUP
THURSDAY
FRIDAY