RELEASE
Full Name of “Participant”:____________________________
I, the undersigned parent or legally authorized guardian, hereby agree,
On behalf of the Participant, to forever waive, release, discharge,
indemnify and hold harmless Troon Golf, L.L.C., Centennial Golf Properties of
NY, L.L.C., and each of their respective owners, affiliates, officers, employees,
agents, successors and assigns from and against any and all claims, liabilities,
damages, expenses and cost (including attorney’s fees and costs), arising out of
or in connection with and personal injury (including death) or property damage
(including with respect to any equipment utilized by the Participant), whether or
not adjusted to be foreseeable, which may now or hereafter be brought as a
result of the participation by the Participant in the Centennial Golf Academy
Junior Camps, and any related activities and events, to be held from June
through September 2017 at the Centennial Golf Club.
By my signature below, I expressly consent to the participation of the
Participant in the above described activities and herby agree, on behalf of the
Participant, and each of our respective heirs, to assume any and all risk, whether
know or unknown, that may be associated with the participation of the
Participant in such activities, and to be expressly bound to the terms of this
Release.
This Release shall constitute the entire agreement with respect to the
subject matter hereof and shall be interpreted under the laws of the State of
New York without regard to any conflicting choice of law principles.
________________________________
____________
Signature of Authorized Parent or Guardian
Date
________________________________
____________
Signature of Witness
Date
Information on Authorized Parent or Guardian:
Printed Name:
__________________________________
Address:
__________________________________
__________________________________
Phone Number:
__________________________________
E-Mail Address:
__________________________________
2017 Junior Golf Camps Registration Form
Camp Dates:
June 26th – 29th
July 3rd – 6th
July 10th – 13th
July 17th – 20th
July 24th – 27th
July 31st – Aug 3rd
August 7th – 10th
August 14th – 17th
August 21st – 24th
August 28th – 31st
*Cost:
$225
$450
$225
$450
$225
$450
$225
$225
$225
$225
Camp Location:
Centennial Golf Club
185 Simpson Road
Carmel, New York 10512
Please Circle Camp Dates that child will attend
*(Half Day Camps are $225 and Full Day Camps are $450)
Half Day Camps Mondays-Wednesdays 9:30-12:00 and Thursdays 8:00-10:30
Full Day Camps Mondays-Wednesdays 9:30-3:30 and Thursdays 8:00-11:00
To sign up or for more information, please call Scott Klemme
at 845-225-5700 ext. 810 or email [email protected]
Application
Child’s Name:_____________________ Parents Name(s)___________________
Address:____________________________ City:__________________________
Zip:_________
Phone: (___)_______________
Age:____
E-Mail:____________________________________
Emergency Contact and Phone: _______________________________________
Will your Junior Golfer need equipment? Yes____ No ____ Right ____ Left ___
Allergies:________________________________________