Brooklyn Golf Yards 4 Week Weds Youth Golf Clinic 4:30- 5:50 or 5:30 - 6:30 9/30, 10/7, 10/14 & 10/21
Golfer's Information
Golfer's Name
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First Name
Last Name
Age
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Grade
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5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Gender
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How Did You Hear About Us?
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Parent / Guardian & Emergency Contact
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Middle Name
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Parent / Guardian Phone Number
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Format: (000) 000-0000.
Parent / Guardian Email Address
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Emergency Contact Name
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Format: (000) 000-0000.
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4:30- 5:30 Clinic Time Slot, Weds 9/30, 10/7, 10/14 & 10/21
$200.00
$
200.00
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5:30 - 6:30 Clinic Time Slot, Weds 9/30, 10/7, 10/14 & 10/21
$200.00
$
200.00
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Credit Card
Waiver and Signature
Liability Waiver & Permission I understand that participation in golf camps clinics, or lessons includes physical activity and outdoor recreation. I hereby release Brooklyn Golf Yards, Rockaway Beach Country Club (RBCC), camp staff, instructors, and affiliates from liability for injuries or accidents that may occur during participation. In the event of an emergency, I authorize staff to obtain medical treatment for my child if I cannot be reached immediately.
Participant / Parent or Guardian Signature
*
Register and Pay
Register and Pay
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