Event Information

Quantity
Price
Total
Golf Academy Registration Fee

X
$
100.00=
$
0

Limited Recreational Scholarships may be available.  Payment must accompany online application.  If you would like to apply for a Recreational Scholarship, please visit the DSACO website to apply online or call the DSACO office for details.  

Participant Information

Participant's Name
Height
Weight
Birthdate
School
Grade Level

Parent/Guardian Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Medical Information

Please answer each question thoroughly.

Indicate condition(s) or diagnoses about which we should be aware (allergies, seizure disorder, autism, visual disorder, hearing impairments, orthopedic challenges, cognitive delay, low muscle tone, speech disorder, ADD, ADHD, etc.)
Is your son/daughter on any medication that we need to be aware of, or does your child use braces, hearing aids, splints, etc.?
Does your son/daughter have any other conditions that may interfere with participation in the DSGA?

Release Information

Parent/Guardian Electronic Signature

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code