Junior Programs

Please fill out the forms below to begin your online enrollment. You may add up to three children using this online form.

NOTE: If you did not include your credit card information on the online registration form please call Denise Giordano at (650) 573-7888 ext: 223 soon after submitting your form. You are not officially registered and space cannot be reserved until we receive payment.

Parent's Name:
Address:
City:
Zip:
Home Phone:
Day Phone:
Cell Phone:

Email:
Medical Contact Phone:
Med. Insurance Co:
Medical ID #:

Additional Information/Comments:

Part Two: Participant(s)' Information

Name of Child
Age
Date of Birth
Camp Date
Session
Rental Club Fee* ($25, if app.):

Camp Fee:

Add Another Child? Yes No

Name of Child #2 (if applicable)
Age
Date of Birth
Camp Date
Session
Rental Club Fee* ($25, if app.):

Camp Fee:

Add Another Child? Yes No

Name of Child #3 (if applicable)
Age
Date of Birth
Camp Date
Session
Rental Club Fee* ($25, if app.):

Camp Fee:

TOTAL Camp Fee:
(please calculate)

Part Three: Conditions of Enrollment & Payment Options

Condition of Enrollment

1. I hereby authorize the directors of the Mariners Point Golf Camp to act for me according to their best judgment in any emergency requiring medical attention. I have no knowledge of any physical impairment that would be affected by the above named camper in participation in the camp program. And I hereby waive and release the Mariners Point Golf Camp from any and all liability for any injuries while at camp.

2. The undersigned parent or guardian consents to the use of any pictures of the camper to be used in advertising or promotion.

3. Mariners Point Golf Camp reserves the right to dismiss any player whose conduct is unsatisfactory. There are certain inherent risks associated with golf. A child will be dismissed from a program for compromising the safety of others. Mariners Point Golf Camp is for well adjusted individuals who treat others with respect and value each player's right to a positive camp experience.

4. Camp Refund Policy: Please give careful consideration prior to enrolling in camp. Camp fees are not refundable. If you cancel on or prior to May 31st your camp fees may be applied to a future Mariners Point Junior Golf Camp during the 2008 or 2009 golf season. The camp credit is transferable to family members or friends. Cash refunds will not be offerd.
• Beginning June 1st a $10 fee will be charged per session for any session date changes made.
• If you need to cancel a session, please call (650) 573-7888 ext: 223 and leave a detailed message or email dgiordano@marinerspoint.com

I accept the terms as stated above in Conditions of Enrollment

Payment Options

I will call Mariners Point to submit my credit card information.
NUMBER TO CALL: Denise Giordano (650) 573-7888 ext. 223

I will pay by credit card online. ( We accept

)

ENTER YOUR CREDIT CARD INFORMATION BELOW FOR PAYMENT:

Payment Type
Name on Card
Credit Card Number
Expiration Date