REGISTRATION FORM

Child’s Name: ______

Birthday: ______Age: _____ Grade: ______

School: ______

Parent’s Name(s): ______Benefits of Golf Address: ______

City: ______State: ____ Zip: ______1. Played at all ages Home Phone: ______2. All abilities can play Work Phone: ______3. Learn life values 2013 2013 Email: ______4. Play alone or in groups

Emergency Contact: ______5. Meet new friends

Relationship: ______6. Good exercise JJUUNNIIOORR

Emergency Phone: ______7. HAVE FUN!

Please check the boxes you would like to register for:

__Jr. Boiler Golf Week I June 4 - $120 BBOOIILLEERR __Jr. Boiler Golf Week II June 25 - $120 __Advanced Jr. Boiler Golf July 17- $200 __PGA Jr. League May 29-July 7- $150 __PGA Jr. League w/Season Pass - $450 GGOOLLFF

$10 sibling discount for each child registered in the Pete Dye Clubhouse same Jr. Week; forms must be turned in together

Total Amount: $______1300 Cherry Lane PPRROOGGRRAAMMSS

Signature: ______West Lafayette, IN 47907 Date: ______

Registration is payable in person by cash, credit card or check payable to ‘Purdue University’. (765) 494-3139 phone www.JrBoilerGolf.com Or send the completed form with check to: (765) 494-4341 fax Birck Boilermaker Golf Complex c/o Jr. Golf 1300 Cherry Lane www.JrBoilerGolf.com (765) 494-3139 West Lafayette, IN 47907 2013 Jr. BOILER GOLF WEEKS 2013 FAMILY GOLF DAYS 2013 PGA JUNIOR LEAGUE Week I - June 4-7 $30 for the Entire Family!!! Wednesdays 4:15pm – 6:00pm Week II - June 25-28 Sundays after 1pm Practices - May 29 June 5, 19, 26 Ages 6-10 8:00am – 9:30am 4-6 Competitions - TBD Families can play Ackerman Hills for just Ages 11-15 10:00am – 11:30am $30 including cart on Sundays after 1pm! The PGA Junior League Golf (PGA JLG) is The Jr. Boiler Golf Week is a four day camp That’s right, up to three (3) juniors under the designed to better socialize the game for that features golf instruction from the age of 18 can play golf with up to two (2) boys and girls, ages 8 to 13. PGA JLG Professional Staff at the Birck Boilermaker adults for only $30 with a golf cart. A features team vs. team competitions in Golf Complex. Each session includes swing second cart may be rented for just $10 more. structured leagues that provide a popular, fundamentals, rules & etiquette, a skills Plus special ‘Family Tees’ are placed on the less stressful scramble format as opposed to challenge, pizza party, individual prizes, and Front 9 for all ages and abilities to enjoy. stroke-play competition. All participants use most importantly FUN! Now that’s FAMILY GOLF!!! the same tee boxes, regardless of age or

$120/student per week So mark it on your calendar in 2013: gender. The distances, however, are never ($10 sibling discount) Sunday afternoons = Family Golf further than the forward tees and in many See reverse side for registration Call 765-494-3139 for Reservations cases adjusted for even shorter distances. This is a great way to get kids involved in the game and parents are encouraged to participate! Teams will be comprised of 8- ADVANCED Jr. BOILER GOLF WEEK 12 players and registration is limited with a 2013 AFTER SCHOOL GOLF th July 17-19 Wednesdays 4:15-5:15pm deadline of April 29 .

Ages 10-15 9:00am – 4:00pm March 20th through May 22nd PGA JLG Players Receive: The Advanced Jr. Boiler Golf Week is an all After School Golf provides juniors the Team Jerseys, Golf Balls, PGA JLG Bag day, 3 day camp for junior golfers seeking opportunity to practice on the driving range Tags, 4-6 regular-season league advanced instruction. Each student will with their peers while receiving golf competitions, Instruction from PGA receive video swing analysis, skills instruction from the Professional Staff. Professionals, 4 Team Practices, Awards, & assessment, course management training, After School Golf is for juniors in Opportunity for All-Star Advancement practice drills, and much more. Students will elementary and junior high school. Golf need to bring a lunch or food will be clubs will be provided if needed and no prior For more information please visit: golf experience is required to attend. This is www.pgajrleaguegolf.com available for purchase at the snack shop. Space is limited to the first 15 students that a great way to introduce your child to the $150/per junior enroll. A skills assessment may be required game of golf. $450/includes Ackerman Season Pass for students that have not attended previous $10/student per session See reverse side for registration Jr. Golf Programs at the BBGC. NO Pre-registration required

$200/student Just check-in at the Driving Range Golf See reverse side for registration Shop on the day of clinic