2017 Junior Golf League Late Signup

 

LEAGUE STARTS FRIDAY JUNE 9 or TUESDAY JUNE 6 (DEPENDING WHICH DAY YOU PLAY) AND RUNS FOR 7 WEEKS. 

TIME NOON TO 3 PM. Cost $175 per person.

 Please note that you will receive a confirmation email of this process.

First Name
Last Name
PHONE
AGE
GRADE NEXT YEAR
Street
CITY
ST
ZIP
DAY
SHIRT SIZE
List your experience level. ie organized play, not put put.
SPECIAL REQUESTS OR COMMENTS

DISCLAIMER

I am aware of the risks, hazards, and inherent dangers that may arise due to my child's participation in the 2016 Junior Golf League being held at Loyal Oak Golf Course. In consideration for being allowed to participate in said activity, I hereby release, waive, discharge Loyal Oak Golf Course, its instructors, agents and employees from every claim, liability or demand of any kind sustained, whether caused by negligence of Loyal Oak Golf Course or otherwise. In the event of illness or injury resulting or arising directly or indirectly out of said activity, I hereby give my consent and authorization for the (1) administration of emergency first aid care and treatment at the scene of an emergency by staff or volunteers of Loyal Oak or (2) the administration of treatment deemed necessary by a licensed physician or dentist and (3) the transfer to any hospital reasonably accessible. This authorization is not intended to cover major surgery unless the medical opinions of two licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery. I further declare and warrant that i am covered by sufficient medical and dental insurance and that such insurance will remain in effect during my child's participation in said activity.

Do you accept the above disclaimer
CONTACT
LAST NAME
PHONE

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