ONLINE SECURE REGISTRATION FOR
2010 JUNIOR CAMPS AND SEASONAL MEMBERSHIPS

To register for the Junior Camps, or to purchase a Seasonal Membership, complete the below information.

You may also print out this form, complete all fields required and mail with a check to:
Country Air Golf Park
404 Lake Elmo Ave N
Lake Elmo, MN 55042

NOTE:  *FIELDS ARE REQUIRED.

 STUDENT INFORMATION
First Name:*

    

Last Name:*  
Age:*  
Date of Birth:*  
Phone:*   (include area code)
Address:*   (street address)
   (city, state, zip)
Email (of Parent)*  
   

May 5 -26, 2010    Wednesday Evenings

Check the program you wish to enroll in

*You will be contacted to confirm your tee time.

Beginner Camp: $169
Advanced Camp: $350
 
Ages 4-6     
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
     

Ages 7-8

    
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
     

Ages 9-11

    
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
     

Ages 11-15

    
4:30-5:30pm Wednesdays
 Full    5:45-6:45pm Wednesdays
     
Junior Pros  (Advanced)  Ages 8-17
  Full    5:00-6:00pm Wednesdays
6:00-7:00pm Wednesdays
   

June 15 - July 8, 2010    Tuesday or Thursdays Morning Camps
Check the program you wish to enroll in

*You will be contacted to confirm your tee time.

 

Beginner Camp: $169
Advanced Camp: $350
Ages 4-6  

TUESDAYS 9:00-10:00am

 Full   

TUESDAYS 10:15-11:15am

THURSDAYS 9:00-10:00am

THURSDAYS 10:15-11:15am
   

Ages 7-8

  

TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am

THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   

Ages 9-11

  

TUESDAYS 9:00-10:00am
  Full  TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
 Full  THURSDAYS 10:15-11:15am
   

Ages 11-15

  

TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
 Full  THURSDAYS 10:15-11:15am

 

    

Advanced Lessons
Ages 8-17 THURSDAYS 9:30-10:30


June 15 thru July 8, 2010      Wednesday Evening Camps
Ages 4-6  

4:30-5:30pm Wednesdays

5:45-6:45pm Wednesdays
   
Ages 7-8  

4:30pm-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Ages 9-11

 

4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Ages 11-15

  

4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Advanced Ages 8-17
5:00-6:00pm Wednesdays
   

July 13 - August 5, 2010    Tuesday or Thursday Mornings Camps
Check the program you wish to enroll in

*You will be contacted to confirm your tee time.

Beginner Camp: $169
Advanced Camp: $350
Ages 4-6  
TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   
Ages 7-8  
TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   

Ages 9-11

  

TUESDAYS 9:00-10:00am

TUESDAYS 10:15-11:15am

THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   

Ages 11-15

  
TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   
Advanced Lessons
Ages 8-17 THURSDAYS 9:30-10:30

July 13 thru August 5, 2010     Wednesday Evening Camps   

Ages 4-6  

4:30-5:30pm Wednesdays

5:45-6:45pm Wednesdays
   
Ages 7-8  

4:30pm-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Ages 9-11

 
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Ages 11-15

  
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Advanced Ages 8-17
5:00-6:00pm Wednesdays
   

August 10 - Sept. 2, 2010      Tuesday or Thursday Mornings Camps


Check the program you wish to enroll in

*You will be contacted to confirm your tee time.

Beginner Camp: $169
Advanced Camp: $350

 

 
Ages 4-6  
TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   
Ages 7-8  
TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   

Ages 9-11 

 

TUESDAYS 9:00-10:00am

TUESDAYS 10:15-11:15am

THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   

Ages 11-15

  
TUESDAYS 9:00-10:00am
TUESDAYS 10:15-11:15am
THURSDAYS 9:00-10:00am
THURSDAYS 10:15-11:15am
   
Advanced Lessons
Ages 8-17 THURSDAYS 9:30-10:30
    

August 10 thru Sept. 2, 2010     Wednesday Evening Camps   

Ages 4-6  

4:30-5:30pm Wednesdays

5:45-6:45pm Wednesdays
   
Ages 7-8  

4:30pm-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Ages 9-11

 
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Ages 11-15

  
4:30-5:30pm Wednesdays
5:45-6:45pm Wednesdays
   

Advanced Ages 8-17
5:00-6:00pm Wednesdays
   

September 8-29, 2010     Wednesday Evenings

Check the program you wish to enroll in

*You will be contacted to confirm your tee time.

Beginner Camp: $169
Advanced Camp: $350

 
Ages 4-6  
4:30-5:30pm  Wednesdays
5:45-6:45pm  Wednesdays
   

Ages 7-8

  
4:30-5:30pm  Wednesdays
5:45-6:45pm  Wednesdays
   

Ages 9-11

  
4:30-5:30pm  Wednesdays
5:45-6:45pm  Wednesdays
   

Ages 11-15

  
4:30-5:30pm  Wednesdays
5:45-6:45pm  Wednesdays
   
Advanced Ages 8-17 
5:00-6:00pm  Wednesdays
   
   

SEASON MEMBERSHIPS

Parent or Sibling Season Membership - $299
   Parent or Sibling Member Name:

Add on an Additional Family Member, Season Membership - $100
   1. Family Member Name:
  2. Family Member Name:
  3. Family Member Name:
   
   
 

 

Comments/Notes or Special Instructions:

 
 PAYMENT INFORMATION
Type of Card:  
Name on Card:*  
Card Number:*    
CSV: (3-digit code on back of card)*   
Expiration Date:*   (mm/yy)
Address of
Billing Statement:		   Click here if same as address above 
  (street address)
   (city, state, zip)
Amount to Bill:

$  ($169 per Beginner camp / $350 for Advanced Camp)