Spring/Fall Sign up form - William Land Golf Course

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:
__________