Clone of Golf Camp Registration Form

Summer Golf Camp is now open for registration! Camp is offered to students ages 6-16. Students will receive full swing, chipping, putting and on course instruction. Camp session are held from 9:00am -12:00pm. Sessions are offered on the following weeks:

June 15-19

June 22-26

July 6-10

July 20-24

August 3-7

August 10-14

Camp fees are $350 for a five day week (5 days of camp) and pro-rated daily rates are available at $75/day. JAL Golf hats are also available for purchase for $20 each.

Camp will be limited to 24 students, with a 6:1 student/teacher ratio. Those who register after our class capacity has been reached will be placed on a waitlist. Thank you for your patience and understanding!

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

Student Information

Which camp days are you registering for?

If you are registering for pro-rated individual dates instead of a full camp week, please indicated which dates you are registering for:

Students Name

First NameLast Name

Age

Parent/Guardian Information

Name

First NameLast Name

Home or Cell Number

Area CodePhone Number

E-mail

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.

How did you hear about us?

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.

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.

Signature

Clinic Registration Fee

June 15-19 $350.00

June 22-26$350.00

July 6-10$350.00

July 20-24$350.00

August 3-7$350.00

August 10-14$350.00

Prorated rate for 4 individual days - $300.00

*Prorated rate for 3 individual days -$225.00

** Prorated rate for 2 individual days - $150.00

*** Prorated rate for 1 individual day - $75.00

Hat purchase$20.00

Purchase a JAL Golf hat to wear on the course!

Enter coupon

Credit Card

Sumer Golf Camp Registration 2026

Clinic Registration Fee

Credit Card