2015 The First Tee Programming @ Yahara Hills Golf Course 608

2015 The First Tee Programming @
Yahara Hills Golf Course
608-838-3126
6701 HWY 12 & 18 East Madison, WI 53718
To Register: Please complete application form on page 3 and mail to The First
Tee of South Central Wisconsin 1245 East Washington Avenue, Suite 211
Madison 53703 or register online at www.thefirstteescw.org!
ALL participants of The First Tee should plan to attend and compete in our FREE
Humana Nine Healthy Habits Challenge™ event at Yahara Hills Golf Course to be
held on Wednesday, July 22 – see page 2 for information.
Recommended for Ages 6 & Up
TARGET - Introduction to Junior Golf – $90
Six lessons, 1 hr. each. Designed to spark your child’s curiosity in the game of golf and allow them
to meet new people and have fun! The basic physical fundamentals of the game and an introduction
to the Nine Core Values are the focus of each lesson. Class space is limited to 12 students per
time slot.
SUMMER:
Fridays: June 19, 26 July 3, 10, 17, 24
Class Time: 1:00pm
Recommended for Ages 12 & Up
Player Development Program – $200
($134.75 if purchasing Madison Parks Junior Golf Pass, see application form for details)
For those dedicated to improving their golf skills, we offer this three week, 9 session early summer
program. Participants will build on the basic skills learned in previous introductory programs to
advance through the levels of The First Tee and successfully compete in local junior tournaments
and competitive high school golf. The Player Development Program features smaller group sizes
and more in-depth lesson sessions. Upon completion of the program, participants will be sent via
email a video of their swing with recommendations for continued improvement and practice.
Participants in this program must be Par, Birdie or Eagle level in The First Tee or have had previous
introductory level instruction and are able to walk nine holes without supervision and understand the
basic rules of golf.
Lessons are 45 minutes followed by two hours of golf with on course instruction provided by the
staff and mentors when available. Healthy snacks and beverages will be provided. Class space is
limited to 12 Players.
Feel free to call Lead Player Development Program Instructor Bill Kokott, PGA at (608) 658-0662 or
send an email to bkokott@charter.net, if you have any questions about the Player Development
Program.
Class Dates: Every Monday, Wednesday and Friday starting June 15 and ending Friday, July 3
Class Time: 9:00am
Presents the 2nd Annual Wisconsin
Nine Healthy HabitS™ Challenge
Hosted by The First Tee of South Central Wisconsin
Wednesday, July 22, 2015
Yahara Hills Golf Course
•
•
8:00 am Start
6701 Hwy. 12, Madison, Wisconsin
Free Fun Day for all Junior Golfers!
Enjoy a great day of fun focused on golf and the mental and physical health and wellness benefits it provides.
Participants will be notified of specific tee times and competition start times no later than Friday, July 17.
REGISTRATION DEADLINE: JULY 10, 2015
Participant Name: ____________________________________________________________________________
Select in which one
challenge you wish to
Address: ________________________________________________________________________________
participate:
Phone: _______________________________________________________________________________
Age: _____________________________________________________________________________
9-Hole Tournament
Drive, Chip & Putt
Email:______________________________________________________________________________ Competition
Mail to: Joni Dye
101 Merryturn Rd.
Madison, WI 53714
Complete this form to register or sign up online at:
humana9hhc.org
EVENT DAY
DRAWING!
All event
participants entered
to win a backpack
with basic school
supplies. More than
100 backpacks
available!
2015 Yahara Hills Lesson/League
Registration Form
□ Female
□ Male
Name: (Please Print) _________________________________________
Gender:
Address: ____________________________________________________
Birth Date: (_____/______/______)
City: _________________________________ Zip:__________________
Primary E-mail (required): _____________________________________________________________
Age: __________
Grade Level: ____________
Name of School: ____________________________________
Parent/Legal Guardian:___________________________________________ Phone: ________________________
Emergency Contact: ____________________________________________ Phone: ________________________
Please pair my child (for car pooling purposes) with: ___________________________________________________
If purchasing Madison Parks Golf junior pass, please provide pass #: _______________________________________
For Statistical Purposes Please:
Ethnicity: __ African-American __Asian-American __Caucasian __Hispanic __Native-American __Multi-Racial
PROGRAMS
_____ TARGET (Introduction to Junior Golf): $90 — 6-lessons, one hour each— 12 Students per time slot
Fridays, starting June 19 and ending on July 24
1:00 pm
______ Player Development Program: $200 ($134.75 with junior pass)
Monday, Wednesday and Friday - 3 meetings per week for 3 weeks—9 meetings total
Starting Monday, June 15 and ending on Friday, July 3
9:00 am
Make checks payable to: “The First Tee.” Mail to: The First Tee of South Central Wisconsin,
1245 East Washington Avenue, Suite 211 Madison, WI, 53703.
Please Note: Junior Pass numbers must accompany application form for discounted fees ($134.75) based on the purchase of a junior pass. For information on the Junior Pass,
inquire at any Madison Parks golf course or on the web at www.cityofmadison.com/parks/golf/SeasonPasses.cfm.
No child is turned away for inability to pay. For information about The First Tee scholarships, inquire at any Madison Parks golf course or click on the “Programs and Instruction” tab
at the chapter’s website, www.thefirstteescw.org.
PLEASE COMPLETE RELEASES ON REVERSE SIDE!
RELEASES
I, the parent/legal guardian of the youth named on this registration form, hereby give The First Tee Chapter, National
Office , City of Madison and Yahara Hills Golf Course permission to use film, video tape or photographs of the abovementioned minor for lawful promotional or informational purposes.
Parent/Guardian Initials: ___________________
I understand that it is the responsibility of my child to safeguard his or her personal items. The Chapter and The First Tee
will not be held liable for any fiscal harm arising out of these losses of jewelry, sports equipment or other personal items.
Parent/Guardian Initials: ___________________
I give approval for participation in The First Tee sponsored activities. I assume all risks of injury whatsoever and agree to
hold harmless The First Tee Chapter, National Office and the City of Madison, including Yahara Hills Golf Course and its employees from claims of any nature arising from activity connected with The First Tee facility or program. This agreement
includes, but is not limited to, any claim due to injury proximately resulting from negligence of The First Tee Chapter or
National Office, the City of Madison, its employees, agents, and volunteers. I consent to The First Tee Chapter and National
Home Office communicating information regarding my child’s participation via the Internet.
Parent/Guardian Initials: ___________________
Parent/Guardian Signature:_________________________________________________________________
Understanding the limited amount of course access for the program’s participants and the need to ensure a high quality
participant to Coaching Staff ratio, I must arrange in advance make up sessions or arrange to receive rain checks for my
child to play on their own if my child is unable to participate on a scheduled day . In the event of cancellations due to
weather or course conditions, the Coaching Staff will arrange for make up sessions or rain checks for my child. I am responsible for contacting the golf course or Coaching Staff in the event of bad weather to inquire as to the status of the day’s
programming.
Parent / Guardian Initials:_________________________________________________________________
Please Print Name: ______________________________________________________________
RECOGNITION— A/B Honor Roll
The First Tee recognizes outstanding academic achievement of all participants through its A/B Honor Roll program. A Certificate of Achievement is generated and signed by The First Tee Chief Executive Officer, Joe Louis Barrow, Jr. Twice annually, chapters report to the home office their participants who have earned all As and/or Bs (or the equivalent) on their report cards. All participants, regardless of age, are eligible for this recognition. If you child qualifies for this achievement
award, please let us know that by initialing below and listing your child’s name as you would like it to appear on the certificate of achievement.
Parent/Guardian Initials: ___________________
______________________________________________________________________________
Child’s Name as you wish it to appear on the Certificate of Achievement
For Office Use Only
Payment made by
□ cash
Amt.:______________
□ check
□ scholarship application
Date: ______________
Check #___________________