Junior Clinic - Summer Camp

Please complete this registration form first. After you click submit, you will then be prompted to pay for your event.
Name*
First
Last
Email Address*
Phone Number*
Emergency Contact Name*
Emergency Contact Phone Number*
Junior Golfer #1 Name*
Junior Golfer #1 Age*
Junior Golfer #2 Name
Junior Golfer #2 Age
Junior Golfer #3 Name
Junior Golfer #3 Age
Junior Golfer #4 Name
Junior Golfer #4 Age
* Indicates a required field.
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In consideration of the child’s participation in The Falls Junior Golf Program guardian hereby releases The Falls and/or staff members from any and all liability associated either with accidents or injuries sustained by the child in connection with the program.  Once you click "Submit" you are in agreement with this liability release.