Junior Golf Clinic Registration Form - September 2025 Logo
  • Junior Clinic Registration September 2025

  • The monthly golf clinic is offered to students ages 6-16. Students will receive full swing, chipping, putting and on course instruction. The clinics are offered from at various times on Monday's, Wednesday's, and Saturday’s. Clubs are available for student who do not have their own clubs. This is a month long clinic. Fees are $25 per session. Monthly fees $100 per month per student if there are 4 weeks in the month, or $125 per month if there are 5 weeks in the month.

    Pricing to attend both Monday's and Wednesday's is $200 per month per student  if it is a 4 week month or $250 for 5 weeks in a month from 4:00-5:00pm. 

    Please note, if you are registering for more than one student, you will need to fill out this form seperately for each student. 

     

    Clinic dates are as follows:

    Monday's - 9/8, 9/15, 9/22, 9/29 - 4:00-5:00pm - $100 (4 lessons)

    Wednesday's - 9/3, 9/10, 9/17, 9/24 - 4:00-5:00pm - $100 (4 lessons)

    Saturday's - 9/6, 9/13, 9/20, 9/27  - 9:00-10:00am - $100 (4 lessons)

     

  • Student Information

  • Parent/Guardian Information
  • Emergency Information
  • Release from Liabilities:

    You assume your child may be at risk and danger incidental to the game of golf and the golf lesson and release the Golf Professionals, golf course, owners, employees and agents thereof from any and all liabilities resulting from such cases. Jacob Lusk (and other Golf Professionals) are running this camp at Camarillo Springs Golf Course.The golf course is not responsible for any liabilities arising out of this program nor does it know the details of the program. You do not pay the course but to the Professionals. The Golf Professionals are not responsible for children arriving early or picked up late.


    In order to adhere to COVID 19 rules and regulations, the junior golf clinic will ensure social distancing by placing all mats 6 or more feet apart. Range balls and baskets will be cleaned and sterilized. Club sharing or borrowing will not be allowed at this time. However, students who do not have their own clubs will be issued a loaner set (at no additional charge) to use during the lesson time. The clubs will be sterilized prior to use. Hand sanitizer will be available at all times. Masks will be worn by instructors and highly recommended to students. If at any time a student has a fever or is feeling unwell, they will not be allowed to participate in the clinic.

  • Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • Clear
  • prevnext( X )
                    Monday Clinic
                    $100.00
                      
                    Wednesday Clinic
                    $100.00
                      
                    Saturday Clinic
                    $100.00
                      
                    Both Monday & Wednesday Clinics
                    $200.00
                      
                    *Prorated rate for 3 lessons only
                    $75.00
                      
                    ** Prorated rate for 2 lessons only
                    $50.00
                      
                    *** Prorated rate for 1 lesson only
                    $25.00
                      
                    Waived Fee (school contract) $0
                    $ Free
                      

                    Credit Card

                  • Should be Empty: