Junior Golf Registration Participant's Name* First Last Parent/Guardian Name* First Last Address* Street Address City ZIP Code Phone*Email* Child's Age (As of 6/1/20)*Please enter a number from 7 to 14.Gender*FemaleMaleEmergency Contact* First Last Emergency Phone*I Would Like To Register For... (Select All That Apply)* Junior Golf Clinic - $100 Advanced Clinic - $150 Junior Golf League - $150 JUNIOR GOLF CLINICSClinic Dates*June 22-25 | 8:00amJuly 13-16 | 10:00NOTE...... If a clinic date or time is not listed it is currently full. If you would like to be added to our waiting list please send a email to firstname.lastname@example.org and we will do our best to accommodate all junior golfers.JUNIOR LEAGUEMy child would like to play with....If your child has someone they would like to play with throughout the season please list their name(s) below. NOTE while we do our best to allow all juniors to play with their friends, this is not always possible.THE LEGAL STUFF1. I hereby recognize and acknowledge that participation in recreational activities may involve bodily injury or emotional injury to myself and/or my child. In consideration of my child being permitted to participate in such events, I hereby voluntarily and knowingly release, waive, and discharge The Barn Golf Course, its officers and employees from any and all liability that may result from my child’s participation in recreation activities. 2. I hereby authorize The Barn Golf Course staff to act on my behalf in accordance with their best judgment in case of an emergency, and agree to assume full responsibility for medical expenses that may arise therefrom.I have read and agree to abide by Parent/Guardian Agreement.* I Agree All changes must be given a two week notice, or a $10 change fee will apply.*Due to limited availability we are unable to accommodate refunds for no-shows. I Agree Date* Date Format: MM slash DD slash YYYY Junior Clinic Registration* Price: $100.00 Advanced Clinic Registration* Price: $150.00 Junior League Registration* Price: $150.00 Total $0.00 NameThis field is for validation purposes and should be left unchanged.