Junior Golf Assocation of Hawaii

2018 Season

*Child's First Name
*Child's Last Name
*Date of Birth - Month
*Date of Birth - Day
*Date of Birth - Year
*School Attending
*Current Grade Level
Current Golf Coach/Instructor
GHIN Number
*Zip Code
*Shirt Size
*Junior's HS Graduation Yr
*Home Phone
Work Phone
Father's Name
Father's Work Phone
Father's Cell Phone
Mother's Name
Mother's Work Phone
Mother's Cell Phone
*Emergency Contact Name
*Emergency Contact Number
*Child's Physician Name
*Child's Physician Number
*Any food or drug allergies
*Any special health condition

 Choose your Options
 Total Fee  125.00 


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