• PGA Sports Academy Junior Golf Clinic-KAM Golf Academy

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    Name: PGA Sports Academy Junior Golf Clinic-KAM Golf Academy
    Date: October 4, 2016
    Time: 5:30 PM - 6:30 PM CDT
    Event Description:
     KAM Golf Academy at Babe Zaharias G.C.
    September & October 2016
    Open to Boys and Girls Ages 5 to 13
    $140 per junior
    Starts September 13rdand will meet each Tuesday from 5:30 pm to 6:30 pm for 6 weeks, OPEN TO THE FIRST 16 PAID JUNIORS
    * Dress code – Sneakers.  T-shirts allowed – No offensive messages.  No cut offs.
    Recommendations: A hat, bottle of water, towel, sunscreen, mosquito repellant
    Clinic Activities Include:
    1. Short Game and Full Swing Instruction
    2. Rules, Etiquette and Course Management
    3. Featuring PGA Sports Academy curriculum
    4. Equipment can be provided during training - if needed
    Return completed registration form to Babe Zaharias G.C. Pro Shop by September 12th.
    Make checks payable to KAM Golf Academy. 
    Participant Name: ____________________________________________________________________________________
    Family email (required) : _____________________________________________  Home City__________________
    DOB: _____________________________Age: ___________Current School Grade ____________   Gender__________
    Mother’s Name: ________________________________                  Father’s Name: _________________________________
    Mother’s Phone: (______)________________________       Father’s Phone: (______)__________________________
    Emergency Contact: ____________________________                    E.C. Phone #:___________________________________
    KAM Golf Academy Junior Golf Activities
    Medical Consent, Equipment Use, Model Release, Hold Harmless
    __________   In the event that I cannot be reached in an emergency, I agree to accept any and all determinations of need for medical assistance and/or administration of medical attention deemed necessary by KAM Golf Academy (KAM), instructors, host golf course(s) and/or representatives. I hereby give permission to the medical personnel to secure any and all medical, hospitalization, dental, and/or surgical treatment. In event that such medical attention is needed from a healthcare provider, all costs shall be the responsibility of the parent or guardian.
    ___________   I understand that any golf equipment received for use is the property of KAM, instructors, host golf course and/or representatives and must be returned upon the termination of the participant’s involvement in the activity.
    __________   I hereby give KAM permission to use film, video tape and/or photographs of the above mentioned minor for lawful promotional or informational purposes.  I consent to host or sponsoring organizations communicating information regarding my child’s participation for marketing purposes.
    __________  I, the parent/legal guardian of the participating youth, give approval for participation in KAM Junior Golf activities and host golf course sponsored activities during calendar year 2016.  I assume all risks of injury whatsoever and agree to hold harmless KAM, instructors, host golf course and/or representatives, from claim(s) of any nature arising from any activity, including transportation, connected with these or related youth development activities. This hold harmless agreement includes, but is not limited to, any claim due to injury proximately resulting from negligence of host or sponsoring organizations, employees, agents, professionals and volunteers.
    This consent form is valid for all KAM Golf Academy and related activities for the calendar year of 2016.
    Participant Name (print) _________________________________________________________
    Parent/Guardian Name (print) ____________________________________________________
    Parent/Guardian Signature_______________________________________________________
                            Today’s Date _________________________________________________________________
    Contact Information:
    Mitch Duncan-409-344-0205 Kurt Picard-409-549-1757
    Set a Reminder:
    Enter your email address below to receive a reminder message.
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