at Oakhaven Golf Club & Ohio Wesleyan University

COGA Junior Golf Academy

REGISTRATION

Please check session that you wish to attend

NON-REFUNDABLE DEPOSIT

Your place in the COGA Junior Short Game School will not be guaranteed until your $150.00 NON-REFUNDABLE DEPOSIT has been received.  Please make checks payable to Central Ohio Golf Academy or pay by Visa or Mastercard by clicking the appropriate links below.

Please mail to:Please check payment method below:

Central Ohio Golf Academy

Junior Golf Camp

7342 Holderman St

Lewis Center, Ohio  43035

REFUND POLICY

Payment will be refunded if the student cannot attend the school for medical reasons and the school is notified at least two weeks prior to the first day of the school.  NO refunds will be made if a student is forced to leave due to any medical reason.  In such a case, the money will be applied to next year's school  fees. NO refunds of any kind will be issued for dismissal due to disciplinary reasons.

Select one of the following:

You may contact the Central Ohio Golf Academy at:

814.332.7982 or

joel.glassburn@cogagolf.com

You may contact the Central Ohio Golf Academy at:

614.332.7982 or

joel.glassburn@cogagolf.com

You may contact the Central Ohio Golf Academy at:

614.332.7982 or

joel.glassburn@cogagolf.com

Student Information

Student's First Name

Student's Last Name

E-mail Address

Street Address

City

State

Zip Code

Phone Number

Age as July 1, 2010

Grade in School

as of September 2010

School as of

September 2010

Parent/Guardian Information

Parent/Guardian Name

Parent/Gaurdian Name

Street Address

City

State

Zip Code

Phone Number

OR

Junior Golf Academy:  June 22-25, 2010

Commuter Student

Boy
Girl

Student's Age12131415161718

$150 NON- REFUNDABLE DEPOSIT
$375 full payment for commuter student  (INCLUDING NON-REFUNDABLE DEPOSIT)

I intend to pay online
I intend to mail my payment