PGA Sports Academy Junior Golf Clinic-KAM Golf Academy
Date and Time
Tuesday Oct 4, 2016
5:30 PM - 6:30 PM CDT
Website
Contact Information
Mitch Duncan-409-344-0205
Kurt Picard-409-549-1757
Send Email
Description
KAM Golf Academy at Babe Zaharias G.C.
presents
PGA SPORTS ACADEMY PLAYER LEVEL
JUNIOR GOLF CLINIC SERIES
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:
- Short Game and Full Swing Instruction
- Rules, Etiquette and Course Management
- Featuring PGA Sports Academy curriculum
- 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 _________________________________________________________________
