2015 Payment Method q Check Spring/Fall q Discover q Visa q MasterCard q American Express To register and make payment online, please visit: http://bit.ly/TFTGSbluegolfWL Check# ________________ Amount $ ________________ Credit Card # _____________________________________ Expiration Date ____________________ CVC __________ Credit Card Charge Amount $ _______________________ Signature ________________________________________ Release I hereby authorize any of The First Tee of Greater Sacramento (TFTGS) staff member or golf facility staff member to act for me according to their best judgment in an emergency requiring medical attention and hereby waive and release the staff from any and all liability for any injuries and illness incurred. I assumed all risks of injury whatsoever and agree to hold harmless TFTGS facilities and programs from claim(s) of any nature arising from activity, including transportation connected with TFTGS. I consent to the communication of information regarding my child's participation with TFTGS via the internet. I hereby give TFTGS and participating agencies permission to use file, videotape and/or photography for lawful promotional purposes. For safety reasons, discipline will be strict and violations of discipline could involve a call to a parent or guardian for arrangement for your junior to return home. www.tftgs.org William Land Golf Course 1701 Sutterville Road, Sacramento, CA 95822 REGISTRATION FORM q New Participant q Returning Participant from any The First Tee program Child’s Name: ____________________________________ Birth Date: _____________ Age: _____ M/F: __________ Grade in School: __________________________________ Shirt Size: ______ Left or Right Handed: ______________ Current NCGA GHIN #: (if applicable) ________________ Allergies/Medications: _____________________________ Parent/Guardian Name: __________________________________________ Address: ________________________________________ City: _____________________ State: _____ Zip: ________ Phone (h): _______________________________________ Phone (w): _______________________________________ Email: __________________________________________ ________________________________________________ Parent/Guardian Signature Emergency Contact ________________________________________________ Please Print Name Date Phone: __________________________________________ www.tftgs.org Name: __________________________________________ Ethnicity (Optional): q Asian q Black or African American q Hispanic or Latino/a q Native American or Native Alaskan q Pacific Islander q White or Caucasian q Multi-Racial The First Tee Life Skills Experience q TARGET q PLAYer q Par q Birdie q Eagle q Ace All new members age 7 and up start at the PLAYer level William Land Golf Course Samantha Clawson (916) 451-6240 [email protected] Sessions 1-3 are ten weeks long, from 4:00-5:30 pm Session 4 is six weeks long, from 4:00-5:30 pm Year Round Program: q One Day per week.................... $109.95 per session q Two Days per week.................. $199.95 per session q Three Days per week................ $279.95 per session Please Choose preferred day(s): q Tuesday q Wednesday q Thursday q Session 1: January 13 - March 19 Orientation - January 6 at 4:30pm q Session 2: March 31 - June 4 Orientation - March 24 at 4:30pm q Session 3: August 18 - October 22 Orientation - August 11 at 4:30pm q Session 4: Nov 5 - December 17*............$79.95 Thursdays only per person Orientation - October 27 at 4:30pm This session is a six week program for parents and children to learn the game together. However some topics are specific to parents and juniors only. *skip Thanksgiving week Year Round Program Total: ____________ Sacramento City Fall Play League*: q February 7 - April 11 (ages 7-17) .............. $49.95 Tee times begin at 1:30 Skip April 4 Orientation - February 4, 6:00pm at Haggin Oaks q September 12 - November 14 (ages 7-17)......$49.95 Tee times begin at 1:30 Skip September 26 Orientation - September 9, 6:00pm at Haggin Oaks Green fees are not included; participants are responsible for those the day of play. Play league rotates between Bing Maloney, Haggin Oaks and William Land Park Golf Courses. See coach for details. *Participants must be able to play 9 holes independently and in a timely fashion. Sac City League Play Total: ____________ FREE Girls Golf Clinics* at Haggin Oaks: q March 7, 1:00-2:00pm (ages 9-17) q April 11, 1:00-2:00pm (ages 9-17) q May 2, 1:00-2:00pm (ages 9-17) *Must fill out registration form for Free Girls Golf Clinics Spring Saturday Class: Orientation for all classes February 28 at 10:00am skip April 4 q FUNdamental Movement I (ages 5-8)..... $109.95 March 7 - May 9 9:00am-10:30am q FUNdamental Movement I (ages 9-17).....$109.95 March 7 - May 9 9:00am-10:30am q FUNdamental Movement II* (ages 10-17)..$129.95 March 7 - May 9 11:00am-12:30am *This class includes one day of play Fall Saturday Class: Orientation for all classes September 5 at 10:00am q FUNdamental Movement I (ages 5-8)..... $109.95 September 12 - November 7 9:00am-10:30am q FUNdamental Movement I (ages 9-17).....$109.95 September 12 - November 7 9:00am-10:30am q FUNdamental Movement II* (ages 10-17)..$129.95 September 12 - November 7 11:00am-12:30am *This class includes one day of play Spring/Fall Saturday Programs Total:__________ Parent/Child Class: All Classes are from 3:00-4:30 Price per Class (2 people)................................. $30.00 Price for all five classes (2 people)...................$159.95 q Class One: April 18 q Class Two: May 2 q Class Three: September 5 q Class Four: November 21 q Class Five: December 5 Parent/Child Class Total: __________
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