Rego Birdies Girls Golf - The Ridge Golf

Program Registration - Birdies (8 - 16 Years)

Please complete the form below to register for this program.
A separate registration is required for each student.

You can choose to pay online, over the phone or at the Pro Shop.
Your spot will not be confirmed until payment is received.

1: Student Details

Student First Name * * Required Fields

Student Last Name *

Student Date of Birth * * Select Month, Year then Day

2: Parent / Guardian Details

Parent / Guardian Name *

3: Contact Details

Email Address *
	* Please make sure your email is typed correctly

Home Address *

City *

State *

Postcode *

Country *

Home Phone Number *

Mobile Phone Number *

4: Payment Details

Select your payment method *

Credit Card Online (preferred method)
Over the phone or via pro-shop >>> Go to step 5

Note your spot will NOT
be confirmed until
payment is received.

Name on Card *

Card Number *

Card Expiry *

Card Type *

CCV Number *

Price:		$145.00 early bird special, $155.00 after 16th Jan 2012
Amount:

5: News & Updates

Please check boxes below to subscribe to our E-Newsletter to make sure to stay up to date with the latest news and communications.
Subscribe to: The Ridge Golf E-News

By submitting this registration you (as parent/guardien for the child) acknowledge that photos of your child may be published on our website in the Photo Gallery and or marketing materials.
If you do not wish your childs photo to shown please advsie Kurt via email - kurt@theridgegolf.com.au.

For more information simply phone us on: (02) 9541 4960 or send us an email: kurt@theridgegolf.com.au