2008
BAREFOOT BAY JUNIOR GOLF PROGRAM
APPLICATION
(Print Form or pick one up at the Pro Shop)
June 10 - August 13, 2008
PLEASE COMPLETE:
Name___________________________________________________Phone
#______________________
Address_________________________________________________City_________________________
State____________________________________________________Zip
Code_____________________
Age________________
Birth Date_____________________
Grade________________________
E-Mail ____________________________ Emergency Phone # _________________________
EXPERIENCE:
Have you ever golfed before?______________________________How
Long?___________________
Have you ever had lessons before?__________________________
Do you have your own clubs?______________________________
Is there a set of clubs available to
you?_______________________
*** PARENT / GUARDIAN - READ CAREFULLY AND SIGN BELOW
***
I, FOR MYSELF AND THE PLAYER,
HEREBY RELEASE BAREFOOT BAY RECREATION DISTRICT AND THE BAREFOOT BAY GOLF COURSE BEING
PLAYED, TO INCLUDE THEIR OFFICERS, EMPLOYEES, FROM ANY AND ALL LIABILITY FOR ANY EVENT OR
CONSEQUENCE WHATSOEVER, IN ANY WAY ARISING OUT OF OR RELATING TO PARTICIPATION IN THE
BAREFOOT BAY JUNIOR GOLF PROGRAM CLINICS AND TOURNAMENTS.
I AUTHORIZE A QUALIFIED MEDICAL DOCTOR TAKE ALL NECESSARY MEASURES IN THE
TREATMENT OF THIS TOURNAMENT PARTICIPANT.
IN CASE OF INJURY OR ACCIDENT,
EVERY ATTEMPT WILL BE MADE TO CONTACT THE PARENT / GUARDIAN FIRST.
Signed__________________________________________Relationship_________________________
Name of
Physician_______________________________________Phone #______________________