LPGA Golf Clinics for Women Registration Form  
Getting Started
*Required Fields

How many golfers are you registering today*        

This form is for golfer #:*                       

Today's Date*:                       -- mm/dd/yy

 Clinic Location*:   

Preferred Mailing Address
 Any mailed Clinic correspondence will be sent to this address.
First Name*:  

 
Please note which address this is:

  Home Address

  Business Address

 
Last Name*:  
Company:

Job Title:
Street Address*:  
Address cont'd:
City*:  
State*:  
Zip*:  
Work Phone:
Home Phone*:  
Mobile Phone:

Fax:
E-mail*:
Skill Level (Details)
Please select the option that best describes your skill level:
If you checked a skill level in the highlighted area, please also indicate:
Average 18-hole Score:   OR
Average 9-hole Score:
18-hole Handicap:   OR
9-hole Handicap:
Never Played - has barely touched a golf club
New Golfer - has had a few lessons
Advanced Beginner - has been on a golf course, knows the basics
Intermediate - has a handicap of 26 to 36 for 18 holes
Advanced - consistently breaks 95 for 18 holes

Pairings

A friend of mine is also attending. Pair me with:

Payment Options - $350 per Golfer

I will pay by phone.
      Please have your credit card & billing address ready. Call 1-800-262-7888.

I will print this form before submitting it and mail a check. Make checks payable to: JBC Golf, Inc.
      Mail to: LPGA Golf Clinics for Women, 1340 Soldiers Field Rd., Suite 4, Boston, MA 02135

I will pay on-line after submitting this form.
      Have your credit card & billing address ready.
      You will be asked to confirm your Clinic location by adding it to your shopping cart.

Additional Information

How did you find out about us?

If referred by a pro, please indicate name:

If referred by other means, please indicate how:

 >>>> Click Submit. You will have the option to pay now or register another golfer. 

Copyright © 2012 LPGA Golf Clinics for Women. All rights reserved.
Revised: 01/20/12