7th Annual Learn To Golf Clinic
(for the Physically Challenged) at Mulligan's Island

September 8, 2007
Saturday 1pm to 5pm
FREE

For directions to Mulligan's Island click here.

Name	*
Address	*
City	*
State	*
ZIP	*
Phone Number (xxx-xxx-xxxx)	*
Are you a Verteran of the US Armed Forces	*	- Select - Yes No
Will You be Bringing Golf Clubs	*	- Select - Yes No
Are You:	*	- Select - Left Handed Right Handed
Is this for an Adult or Child	*	- Select - Adult Child
Your Child's Age
Type of Disabilitiy or Special Need	*
What is your Email Address	*
How Many Will be Accompanying You	*