Please complete these details and we'll register you for the junior school holiday golf tournament !

Sunday 25th June and Monday 26th June 2017 at Pelican Waters Golf Club 11-430pm.

Cost is $130 for both days or $80 per day.

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What is the child's full name

 
What is the parent or guardian's full name?

 
What is the child's DOB?

 
There is a small fee to hire golf clubs, will you need to hire golf clubs?

     
 
To confirm your place, your card will be charged $80 for the deposit now, as spaces are limited. {{var_price}}

 
Please enter your Credit or Debit Card number:

 
The CVC number:

(3 or 4 digit security number on the back of your card)
 
The name on your card:

 
Your card's expiry month:


 
Your card's expiry year:


Thankyou for registering, please feel to share with your friends. See you at the clinic for a week of golfing fun !!
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