2017 PROGRAM SCHEDULE
The First Tee of NH at Fore-U Golf Center
298 N Plainfield Road
West Lebanon, NH 03784
(603) 298-9702
www.foreugolf.com [email protected]
The First Tee program is designed around teaching young people the game of golf by understanding and ultimately
developing thru The First Tee Nine Core Values of honesty, integrity, sportsmanship, respect, confidence, responsibility,
perseverance, courtesy and judgment.
At The First Tee of NH at Fore-U Golf Center, golf and life lessons are seamlessly incorporated into each experience. A
sample of life skills lessons include: Interpersonal Skills, Self-Management, Goal Setting, and Resiliency Skills.
Young people progress through The First Tee by graduating through levels that introduce new and more advanced
concepts of golf and life skills.
SESSION
AGE
SESSION DATE/TIME
Location
COST
TFT Jr. Golf
Afterschool
Program
9 to 13
May - 3, 10, 17, 24 & 31
(Wednesdays)
Fore-U Golf Center
$95
7 to 15+
April 29th, June 3rd,
th
July 1st, August 5
(Saturdays)
9:00AM – 10:00AM
Fore-U Golf Center
FREE
Summer
Camps
8 to 14
June 28, 29, 30 (Weds, Thurs, Fri)
9:00AM – 12:00PM
July 26, 27, 28 (Weds, Thurs, Fri)
9:00AM – 12:00PM
Fore-U Golf Center
Junior’s Mini
Hour
5 to 7
July 11, 18, 25 & August 1
(Tuesdays)
9:00AM – 10:00AM
Fore-U Golf Center
8 to 11+
July 11, 18, 25 & August 1
(Tuesdays)
10:00AM – 11:00AM
Fore-U Golf Center
9 to 13
July 7, 14, 21 (Fridays)
9:00AM – 11:30AM
Carter CC
Free Youth
Saturdays
Golf Course
Play
$180 per session
$80
$80
$120
Register for both spring and summer sessions through Fore-U Golf Center by visiting www.foreugolf.com or emailing
[email protected].
For more information about The First Tee of New Hampshire visit www.thefirstteenh.org or call 603-964-3033.
*Minimum class size 3 / Max class size 8
2017
The First Tee of NH at Fore-U Golf Center
Program Registration and Permission Form
Page 1 of 2
(Please complete both pages)
New Participant? □Yes
Today’s Date
Participation Consent Form completed by:
□No
□Mother □Father
Returnee? □Yes
□No
Participant Since
/20____
□Legal Guardian
Registration forms must be received two weeks prior to the session. Space is limited and will be filled on a first
come, first served basis. Payment must be received to confirm your spot.
---------------------------------------------------------------------------------------------------------------------------------------------------
Youth Information:
Name:
Gender:
□Female □Male
(First, Last)
Address:
City:
State:______ ZipCode:
Age: ______ Birth Date (____ /____ /______) School:
MM
DD
School Grade Level*:
YYYY
*To help us measure the success of our program, please provide your child’s current average scholastic grade (A, B, C, D or F): ______
Parent/Legal Guardian:__________________________________________________Relationship:___________________________
(First, Last)
E-mail Address:___________________________ Phone (W):_________________ (H):________________ (C)________________
I heard about The First Tee from:
I am registering through:
Ethnicity:
□Friend □TV/Media
□Attended in-school program at:
□On my own □Rec Department:
□Youth Organization:
□African-American □Asian-American □Caucasian □Hispanic □Native-American □Pacific-Islander
□Other___________________ □I do not wish to respond
----------------------------------------------------------------------------------------------------------------------------- -------------------------------------
Health and Emergency Information:
Please list any allergies, disabilities or other health issues that we should know about:______________________________________
____________________________________________________________________________________________________________
Emergency Contact:____________________________________ Relationship/Phone#::____________________________________
(if parent/guardian cannot be reached)
Alt Emergency Contact:
Relationship/Phone#:_____________________________________
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.
Parent/Guardian Initials:________
---------------------------------------------------------------------------------------------------------------------------------------
Golf Information:
Please Check:
Golf Clubs Needed?
Amount of Golf Experience:
□ Right Handed
□ Left Handed
□ Don’t Know
□ I will bring my own clubs □ I will need clubs provided (TFTNH has plenty available)
□ None
□Very Little
□Moderate
□Quite a bit
□A lot
--------------------------------------------------------------------------------------------------------------------------------------The First Tee of New Hampshire at Fore-U Golf Center
298 N Plainfield Road, West Lebanon, NH 03784
(603) 298-9702
www.foreugolf.com
[email protected]
04/10/2017
TFTNH at Fore-U Golf Center Program Registration and Permission Form
Page 2 of 2
--------------------------------------------------------------------------------------------------------------------------------------Program Selection and Payment
SESSION
DATE/TTIME
LOCATION
COST
TFT Jr. Golf
Afterschool Program
(Ages 9 – 13)
May - 3, 10, 17, 24 & 31 (Wednesdays)
Fore-U Golf Center
$95
Free Youth
Saturdays
(Ages 7 – 15+)
April 29th, June 3rd, July 1st, August 5th
(Saturdays)
9:00AM – 10:00AM
Fore-U Golf Center
FREE
Summer Camps
(Ages 8 – 14)
June 28, 29, 30 (Weds, Thurs, Fri)
9:00AM – 12:00PM
July 26, 27, 28 (Weds, Thurs, Fri)
9:00AM – 12:00PM
Fore-U Golf Center
Junior’s Mini Hour
(Ages 5-7)
July 11, 18, 25 & August 1 (Tuesdays)
9:00AM – 10:00AM
Fore-U Golf Center
$80
(Ages 8 – 11+)
July 11, 18, 25 & August 1 (Tuesdays)
10:00AM – 11:00AM
Fore-U Golf Center
$80
On Course Play
(Ages 9 – 13)
July 7, 14, 21 (Fridays)
9:00AM – 11:30AM
Carter CC
$180 Per Session
$120
Please list your program selection(s):
Program
Date
Time
Location
Cost*
*See Cost Table above
Total Amount Due:
Amount Paid:
I wish to make an additional separate donation to support The First Tee of New Hampshire ($5 min) Donation Amount $_________
□ Check (make payable to The First Tee of New Hampshire)
Payment Type:
Credit/Debit Card Number:
Name on Card:
□ MasterCard
□ Visa
Expiration Date: _________ Billing Zip Code: _________
Signature:
---------------------------------------------------------------------------------------------------------------------------------------------- --------------------
Equipment:
I understand that any golf equipment received for use is the property of The First Tee program, and may be returned at the
discretion of The First Tee facility upon the termination of the participant’s involvement in the program. Parent/Guardian Initials:________
----------------------------------------------------------------------------------------------------------------------------- -------------------------------------
Media Release:
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. Parent/Guardian Initials:________
--------------------------------------------------------------------------------------------------------------------------------------Youth Name (please print):
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 or 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.
Parent/Guardian Signature:
Date:_______________
Please Print Name: ______________________________________________________________
Please mail completed form to address below or drop it off at Fore-U Golf Center. Thank you!
The First Tee of New Hampshire at Fore-U Golf Center
298 N Plainfield Road, West Lebanon, NH 03784 · (603) 298-9702 www.foreugolf.com [email protected]
As a 501(c) 3 organization, The First Tee of New Hampshire may accept gifts and bequests.
04/10/2017