The First Tee of San Juan County, NM
Description of Programming Levels
PLAYer:
(Min. Age 6)
Participants that are new to the program begin at the PLAYer level.
This course offers an introduction into the Nine Core Values and gives participants the
basic fundamentals of the golf swing and incorporates other popular activities in with golf
to make the participant comfortable in learning the game. Participants must pass the
PLAYer assessment to move into PAR level.
PAR:
(Min. Age 9)
Participants that have passed the PLAYer level assessment move into PAR level
programs. At this level, participants learn interpersonal communication skills, the
importance of a good attitude, dealing with emotions and focusing on doing the best that
you can without worrying about what others are doing. Golf skills continue to focus on
fundamentals with more opportunities to access the golf course to play. Participants must
pass the PAR assessment to move into BIRDIE level.
BIRDIE:
(Min. Age 11)
Participants that have passed the PAR level assessment move into BIRDIE level
programs. At this level, participants learn the importance of setting goals, practicing goal
ladders and decision making using S.T.A.R. Golf skills progress into advanced levels and
golf course management is talked about daily. Participants will be on the golf course
playing more than half of the classes. Participants must pass the BIRDIE assessment to
move into EAGLE level.
The First Tee of San Juan County, NM
2017 Aztec Municipal Golf Course Summer Sessions (6/14/17 thru ???)
Registration Form (Sign-up begins March 14th)
Name:_______________________ Birthdate:_________ Grade Level: _______________
Address:___________________________ City/Zip: ______________________________
Gender:
M
F
School: ________________________________________
Shirt Size: Youth S
M
L
XL
Adult S
M
L
XL
Name of Parent/Guardian:____________________________________________________
Home Phone #:( ) ________ - _________ Cell Phone #:( ) ________ - ____________
Email (required):____________________________________________________________
Does participant have a set of golf clubs?
Y
N
Is your child Right or Left Handed?: _______
Which Aztec Golf Session do you wish to attend? (Check One) - $50/Session*
*If you are having difficulty affording the programming fees, please contact The First Tee Office at 334-4291.
________ PLAYer-9
sessions (8:00-9:30 every M/W/F) June 14th-July 7th (no sessions on July 3rd or 5th)
________ PAR-6 sessions
(10:00-11:30 every M/W/F) June 14th-June 26th
________ BIRDIE-6 sessions
(5:00-6:30 PM every M/W/F) June 14th-June 26th
*each session includes an optional “Play Day” (dates TBD)
*Certification Nights (dates TBD) will also be available for any participants wanting to attempt to move up a level.
Summer Session New Parent Orientation for PLAYer Participants
(Mandatory for parents of FIRST-TIME participants in programming)
Please attend at Aztec Municipal Golf Course:
Monday, June 12th, 5:30-6:15 pm
Signature of Parent/Guardian:__________________________________
Make checks payable to: Patrick Swope
Send Registration Form, Permission Form and Payment ($50) To:
Aztec Municipal Golf Course
29 CR 3025
Aztec, NM 87410
(505) 334-3248 – Golf Course Phone
(505) 402-1901 – Pat Swope Cell
Date Paid: ______
Amount Paid: $_______
Payment Method: CASH
CASHIERS CHECK
PERSONAL CHECK**
**A $25.00 Fee will be assessed for any returned check
The First Tee of San Juan County, NM
Participant Permission Form
(Past participants do not need to fill this form out again, unless information has changed)
Today’s Date: ___/____/2017
Participation: ____New ___Return
…………………………………………………………………………………………………………………………………………..
Youth Information (All fields required / Please print clearly)
Name:
_________________________________________________________ Gender :
Female
Male
(First, Last)
Address: _________________________________________________ City: __________________ State: ____ Zip Code:_________
Ethnicity:
African-American
Asian-American
Caucasian
Hispanic
Native-American
Pacific Islander
Other
Don’t wish to respond
Birth Date: (_____/_____/_____) School:
___________________________________________ Grade Level: ____________
Health Concerns: ________________________________________________ Disability Information: _________________________
Parent/Legal Guardian: _____________________________________________________ Relationship_________________________
(First, Last)
E-mail (Required): __________________________________________ Phone:(home)_________________ (cell)________________
Family Income(please circle one):
Below $10,000
$10,000-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$100,000
Above $100,000
Do not wish to respond
Participation Consent Form completed by:
Mother
Father
Legal Guardian
………………………………………………………………………………………………………………………………………………
Health Information
Emergency Contact: ______________________________________________________ Relationship:_________________________
(if parent/guardian cannot be reached)
Work Place:______________________________________________________________ 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 of San Juan County, NM representatives. I hereby give
permission to the medical personnel selected by The First Tee of San Juan County, NM 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: _________
………………………………………………………………………………………………………………………………………………..
Equipment
I understand that any golf equipment received for use is the property of The First Tee of San Juan County, NM, and will be returned at
the discretion of The First Tee of San Juan County, NM upon the termination of the participant’s involvement in the program.
Parent/Guardian Initials: __________
………………………………………………………………………………………………………………………………………………..
Media Release
I hereby give The First Tee of San Juan County, NM, 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: __________
………………………………………………………………………………………………………………………………………………..
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 of San Juan County, NM 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 of San Juan
County, NM or Headquarters Office, its employees, agents, LPGA and PGA Professionals, participating agencies, and volunteers. I
consent to The First Tee of San Juan County, NM and Headquarters Office communicating information regarding my child’s
participation via the internet.
Parent/Guardian Signature:_______________________________________________ Date:_______________
Please Print Name: ______________________________________________________
Staff Signature:_________________________________________________________ Date:_______________