2017 Fall - Minnesott After School Programming

  • In the event that I cannot be reached in an emergency, I agree to accept any and all determinations of need for medical assistance and/or administration of medical attention deemed necessary by The First Tee Chapter representatives. I hereby give permission to the medical personnel selected by The First Tee Chapter representatives to secure any and all medical, hospitalization, dental, and/or surgical treatment. In event that such medical attention is needed from a healthcare provider, all costs shall be the responsibility of the parent or guardian. INITIAL ABOVE
  • I understand that any golf equipment received for use is the property of The First Tee of Eastern North Carolina, and may be returned at the discretion of The First Tee of Eastern North Carolina upon the termination of the participant's involvement in the program. INITIAL ABOVE
  • I hereby give The First Tee Chapter, Headquarters Office, and participating agencies permission to use film, video tape, and/or photographs of the above mentioned minor for lawful promotional or informational purposes. INITIAL ABOVE
  • I, the parent/legal guardian of the above named youth, 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 and Headquarters Office from claim(s) of any nature arising from any activity, including transportation, connected with The First Tee facility of program. This hold harmless agreement includes, but is not limited to, any claim due to injury proximately resulting from negligence of The First Tee Chapter or Headquarters Office, its employees, agents, LPGA and PGA Professionals, participating agencies, and volunteers. I consent to The First Tee Chapter and Headquarters Office communicating information regarding my child's participation via the internet. PARENTS/GUARDIANS FULL NAME ABOVE
  • Price: $60.00 Quantity:
  • Submit this form for registration, regardless of how you are paying. It will automatically redirect you to PayPal, which you may cancel if you wish to pay by check or other means.