Junior Program Registration
Please register one child at a time

Parents Name

Address

City

State

Zip

Child First Name

Child Last Name

Child Age

School Child Attends

Parent Phone

Parent Email

Other Info

Payment for program is to be made with credit card only and via
telephone. Please contact Don Berberick, Capital Golf Services
at 614-634-1522.


"Cancellation policy: A $25 administrative fee will be charged for all cancellations and will be reflected on the credit issued.


A confirmation email will be returned to you following your registration.