SARATOGA
JUNIOR GOLF, INC.
BRIAN RHODES
37 GREYLOCK DR. DIRECTOR OF INSTRUCTION
GANSEVOORT, NY 12831
518-368-7473
2007 PROGRAM
REGISTRATION
Parents
Work #___________________
Parents
Cell #____________________
E-Mail
Address____________________________________
Parent
or Guardians Name___________________________________
Applicants
Medical Considerations (allergies, existing conditions, medications, etc..)
Please Describe_______________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
In consideration of the applicants participation in the Saratoga Junior Golf, Inc. clinics, camps, leagues and miscellaneous programs: 1.) the applicant and the parent/guardian hereby release Saratoga Junior Golf, Inc., Airway Meadows Golf Course, and all of each companies respective officers, directors, employees, agents, subsidiaries and affiliates from any and all liability, damages, accidents, claims or injuries sustained by the applicant or parent/guardian in connection with these programs; 2.) the applicant grants and assigns his/her individual media/photo rights respecting participation in these programs, without exception to the sponsors, Saratoga Junior Golf, Inc. and Airway Meadows Golf Course.
In case of a medical emergency during a Saratoga
Junior Golf, Inc. program, I authorize a qualified, medical
physician/professional to take all necessary measures in the treatment of this
applicant.
Parent/Guardian
Signature____________________________Date___________