Tel: 650-573-7888
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Matt Coe
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JUNIOR CAMPS & LEAGUES
2024 Summer Camps
2024 PGA Jr. League
2024 Spring Break Camp
Private Lessons
Registration Form
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Family Information
Parent’s Name
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Address
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Primary Phone
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Please make sure that we have a number where a parent or guardian can be reached during camp.
Emergency Phone
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Email
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Any learning accommodations that we should be aware of? Any food or insect allergies?
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Additional Comments or Requests
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Participant(s)’ Information
Child’s Name
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Last
Age
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Date of Birth
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Program
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Select a Program
Spring Break Camp April 1-5
Spring Break Camp April 8-12
Policies & Procedures
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Waivers & Agreements
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I have read the Waivers & Agreements
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MEDICAL RELEASE:
I fully realize that injury or illness to my child may result from or during participation in the youth camp. In case of injury or illness, I give permission for my child to be given medical treatment as deemed appropriate. I further give permission for the information provided on this form to be shared with appropriate medical personnel. I further give permission for and grant authority to the camp representatives to sign on my behalf the Notice of Privacy Practice that patients are required to receive in accordance with federal law. I understand and acknowledge that I will be responsible for any medical bills incurred by my child.
I agree to the Medical Release
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