Apply to Attend

If you are a veteran with disabilities or a first responder and you are interested in attending one of our camps, please fill out the form completely. We will get back to you as soon as possible with open dates. Thank you.

Apply To Attend

"*" indicates required fields

Select Golf Camp*

Full Name*

First Last

Email*

Phone*

Date of Birth*

MM slash DD slash YYYY

Home Address*

Street Address Address Line 2 City State ZIP Code

Career*

Enter Branch Service Here

First Responder Service

Emergency POC Name

First Last

Emergency POC Phone

What is Your Shirt Size*

If applicable, what are your injuries (check all that apply)*

Single upper body amputation

Single lower body amputation

Upper and lower body amputations

Other internal diagnosis

Multiple upper body amputations

Multiple lower body amputations

Visually impaired

Cancer

Other

Briefly Explain Injury

Service-Connected Disability Rating*

Which Best Describes Your Current Skill Level with Golf?*

Do you own a set of Golf Clubs?*

Yes

What are some things you hope to learn from this program if you are selected?*

In a few sentences, tell us why you want to participate in this program? We do read this information and it will be used In the selection process.*

Are you willing to sign a media release so that we may use photos on our website to promote our organization and help more Veterans and first responders? You may be interviewed and also be included in video footage*

Yes

By clicking YES below, I acknowledge that I understand I may be responsible for caddy fees and my meals, depending on the camp.*

Yes

By clicking YES below, I hereby acknowledge that I have read and understand the complete description and expectations of this program related to the camps. I acknowledge that if selected for a camp date and I accept that date (we will discuss dates with you in advance so you can pick the best one) I am required to attend all days of the camp. Failure to attend all days will result in my not being able to attend any programs with Next 18 in the future.*

Yes

How did you hear about us?*

Facebook

Instagram

Google search

Alumni

Fellow veteran/first responder

Clinical provider

Flyer

Other

Comments

This field is for validation purposes and should be left unchanged.

A registered 501(c)(3) non-profit organization

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Milwaukee, WI 53217

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matt@next18.org

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