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THE GOLF INSTITUTE JUNIOR GOLF CAMP REGISTRATION 2008
ELIGIBILITY: Open to all junior golfers. Ages 7-17. All Skill levels. Check ages for particular classes. TO REGISTER: Complete the following registration and release form. (Make checks Payable to The Golf Institute) Or we take Visa and Master Card. Send with payment to: Or Fax back to 972-418-1043 The Golf Institute 2729 Lakeridge Lane Carrollton, Texas 75006. Class sizes are limited for more personal attention. Sign up soon! ____________________________________________________________
NAME:___________________________AGE:________ DOB:_________
ADDRESS:________________________HOME PHONE:_______________
CITY/STATE/ZIP:___________________________________________
SKILL LEVEL:______WILL CLUBS BE NEEDED?_____Right/or left?______
E-Mail Address:___________________________________________
PLEASE WRITE IN THE CAMP(S) YOU WILL BE ATTENDING;
DATE:___________________________FACILITY:North Texas Golf Center
Amount Enclosed: $_______________
Credit Card___________Number___________________Expiration______
LIABILITY RELEASE: We the undersigned do by our signing, release The Golf Institute, its instructors, agents, and owners from all liability, claims or other forms of legal action, from any damage and or personal injury resulting from any accident which may occur while the student is participating in and or attending said camps. I also authorize any medical and or hospital care that might be necessary for the student. I agree to observe the USGA rules of Etiquette of golf, to conduct myself while at my golf lessons properly, courteously, and to follow the facilities’ rules. I understand that I may be asked to not participate in the clinics for willful disregard of the rules, golf etiquette, or for dishonest, unsportsmanlike, or unbecoming conduct.
PARENT SIGNATURE:______________________________________________
STUDENT SIGNATURE:_____________________________________________
PLEASE LET US KNOW IF WE NEED TO BE AWARE OF ANY SPECIAL NEEDS FOR YOUR JUNIOR GOLFER: SPECIAL PHYSICAL NEEDS: _________________________________________________________________________________________
SPECIAL MEDICATIONS: ______________________________________________________________________ If special medications might have to be given, please give us instructions and your permission for us to administer same.
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