Payment Method REGISTRATION FORM
Transcription
Payment Method REGISTRATION FORM
2015 Payment Method q Check q Discover q Visa q MasterCard q American Express To register and make payment online, please visit: http://bit.ly/BMjuniors Check# ________________ Amount $ ________________ Credit Card # _____________________________________ _ Expiration Date ____________________ CVC __________ Credit Card Charge Amount $ _______________________ Signature ________________________________________ Release I hereby authorize any of The First Tee of Greater Sacramento (TFTGS) staff member or golf facility staff member to act for me according to their best judgment in an emergency requiring medical attention and hereby waive and release the staff from any and all liability for any injuries and illness incurred. I assumed all risks of injury whatsoever and agree to hold harmless TFTGS facilities and programs from claim(s) of any nature arising from activity, including transportation connected with TFTGS. I consent to the communication of information regarding my child's participation with TFTGS via the internet. I hereby give TFTGS and participating agencies permission to use file, videotape and/or photography for lawful promotional purposes. For safety reasons, discipline will be strict and violations of discipline could involve a call to a parent or guardian for arrangement for your junior to return home. www.tftgs.org Bing Maloney Golf Course 6801 Freeport Boulevard, Sacramento, CA 95822 REGISTRATION FORM q New Participant q Returning Participant from any The First Tee program Child’s Name: ____________________________________ Birth Date: _____________ Age: _____ M/F: __________ Grade in School: __________________________________ Shirt Size: ______ Left or Right Handed: ______________ Current NCGA GHIN #: (if applicable) ________________ Allergies/Medications: _____________________________ Parent/Guardian Name: __________________________________________ Address: ________________________________________ City: _____________________ State: _____ Zip: ________ Phone (h): _______________________________________ Phone (w): _______________________________________ Email: __________________________________________ ________________________________________________ Parent/Guardian Signature Emergency Contact ________________________________________________ Please Print Name Date Phone: __________________________________________ www.tftgs.org Name: __________________________________________ Ethnicity (Optional): q Asian q Black or African American q Hispanic or Latino/a q Native American or Native Alaskan q Pacific Islander q White or Caucasian q Multi-Racial The First Tee Life Skills Experience q TARGET q PLAYer q Par q Birdie q Eagle q Ace All new members age 7 and up start at the PLAYer level Bing Maloney Golf Course Atlee Anders (916) 808-2283 aanders@hagginoaks.com Summer Camps: q Wee Swingers I/II Combo (ages 5-8)..........$159.95 m June 8-11 9:00am-11:30am q Wee Swingers I (ages 5-8).......................... $159.95 m June 15-18 9:00am-11:30am m July 20-23 9:00am-11:30am q Wee Swingers II (ages 5-8)......................... $159.95 m June 22-25 9:00am-11:30am m July 27-30 9:00am-11:30am q Junior Beginner (ages 9-17)........................ $179.95 m July 6-9 8:00am-12:00pm m Aug 3-6 8:00am-12:00pm q Junior Intermediate (ages 9-17).................. $189.95 m July 13-16 8:00am-12:00pm m Aug 10-13 8:00am-12:00pm Summer Camps Total: ____________ Sessions 1-3 are ten weeks long, from 4:00-5:30 pm Session 4 is six weeks long, from 4:00-5:30 pm Year Round Program: q One Day per week.................... $109.95 per session q Two Days per week.................. $199.95 per session Please Choose preferred day(s): q Wednesday q Thursday q Session 1: January 14 - March 19 Orientation - January 10 at 5:00pm q Session 2: April 1 - June 4 Orientation - March 28 at 5:00pm q Session 3: August 19 - October 22 Orientation - August 15 at 5:00pm q Session 4: Nov 4 - December 16* Wednesdays only....................$79.95 per person Orientation - October 24 at 5:00pm This session is a six week program for parents and children to learn the game together. However some topics are specific to parents and juniors only. *skip Thanksgiving week Year Round Program Total: ____________ Sacramento City Play League*: *Green fees are not included; participants are responsible for those the day of play. Play league rotates between Bing Maloney, Haggin Oaks and William Land Park Golf Courses. See coach for details. Spring Session: Summer Tuesday Little/Junior Linker Play: June 9 - August 11 Orientation May 30 at 4:00pm Tee Times start at 3:30pm q Little Linker* (ages 7-12)...........................$109.95 q Junior Linker* (ages 13+)..........................$109.95 Skip June 30 *Participants must be able to play 9 holes independently and in a timely fashion q Optional Little Linker group lessons.........$40.00 8 Group lessons will be on Mondays June 8 - August 3 4:00pm-5:00pm Skip June 29 q Pee Wee Play League (ages 4-6)..................$79.95 June 2 - July 14 4:00-5:00pm Skip June 30 Summer League Play Total: ____________ Orientation - February 4 at 6:00pm at Haggin Oaks q February 7 - April 11 (ages 7-17) ............... $49.95 Tee times begin at 1:30pm skip April 4 Fall Session: Orientation - September 9 at 6:00pm at Haggin Oaks q September 12 - November 14 (ages 7-17).....$49.95 Tee times begin at 1:30pm skip September 26 *Participants must be able to play 9 holes independently and in a timely fashion. Sac City League Play Total: ____________ Saturday Summer FootGolf Orientation June 6 at 5:00pm q FootGolf (ages 5-17).................................. $109.95 June 13 - Aug 15 1:00pm-3:00pm Skip July 4 FootGolf Total: ____________ Saturday Classes: Spring Class: Orientation February 28 at 5:00pm q FUNdamental Movement I (ages 5-13)......$109.95 March 7 - May 9 (9:00-10:30) skip April 5 Summer Class: Orientation May 16 at 5:00pm q FUNdamental Movement I (ages 5-13)......$109.95 May 23 - August 1 (9:00-10:30) skip June 27 & July 4 Fall Class: Orientation August 8 at 5:00pm q FUNdamental Movement I (ages 5-13)......$109.95 August 15 - October 17 (9:00-10:30) skip Sept 5 & 26 Winter Class: Orientation October 24 at 5:00pm q FUNdamental Movement I (ages 5-13)...... $109.95 November 7 - January 23, 2016 (9:00-10:30) skip November 28, December 26 & January 2 Saturday Classes Total: ____________ Saturday Practice and Play: Classes are from 11:00am-1:00pm q Session 1: January 17 - March 21 Orientation: January 10 at 5:00 pm q Session 2: April 11 - June 13 Orientation: March 28 at 5:00 pm q Session 3: August 22 - October 31 Orientation: August 15 at 5:00 pm skip Sept 5 & 26 Price Per Session......................................$129.95 *Participants must be able to play 9 holes independently and in a timely fashion. Saturday Practice and Play Total: ____________ Tots on the Tee Tots on the Tee (ages 3-4)............................ q Session 1: June 6-July 25 11:00-12:00 Orientation - May 30 at 5:00pm Skip June 27 & July 4 q Session 2: Nov 7-Dec 19 11:00-12:00 Orientation - Oct 24 at 5:30pm Skip Nov 28 Tots on the Tee Total: $79.95 ____________