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Tregnan Golf Academy - City of Los Angeles Department of ...

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CITY OF LOS ANGELES DEPARTMENT OF RECREATION AND PARKSSUMMER 2014“Making a difference in the lives <strong>of</strong> children by giving them an opportunity to play the game.”4341 Griffith Park Drive, <strong>Los</strong> <strong>Angeles</strong>, CA 90027 (323) 906-3858www.golf.lacity.org/tregnan.htm


Upcoming <strong>Academy</strong> EventsSummer Session Registration: Sunday, June 22, 2014Summer Camp Registration: Monday, May 5, 2014Summer Camp: June 9 - Aug. 8, 2014Summer Session: July 7 - Sept. 22, 2014Summer Tournaments:Girls <strong>Golf</strong> Club Tournament: Saturday, Sept. 27, 20149-Hole Tournament: Saturday, Sept. 27, 2014Junior Executive Tournament: Saturday, Sept. 27, 2014PARENT-JUNIOR 9-HOLE TOURNAMENT: SUNDAY, September 21, 2014BIRTHDAY PARTY ALERT!Do you love golf and have a birthday or event coming up?Have you thought about hosting a Birthday Party at <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong>?Call the <strong>Academy</strong> at 323-906-3858 for more information or to make reservations.Parent-Junior Tournament<strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> is proud to host its 14th Annual Parent-Junior <strong>Golf</strong> Tournament onSunday, September 21, 2014, at Roosevelt <strong>Golf</strong> Course in Griffith Park. Proceeds from the tournamentbenefit the <strong>Academy</strong> by supporting our LPGA-USGA Girls <strong>Golf</strong> Club at the <strong>Academy</strong>.The two-some entry <strong>of</strong> $100 will include lunch, golf, tee prizes, on course contests, and awards presentations.A Silent Auction and a Raffle will give everyone a chance to win additional prizes including golfpackages, golf merchandise, and gift baskets. Please join us in making this event a success by registeringtoday!! Additional opportunities include sponsorship <strong>of</strong> a tee/green or product donation.Please call us (323) 906-3858 for more information.<strong>Tregnan</strong> Weekly ChallengeThe <strong>Tregnan</strong> Weekly Challenge is a competitive activity held in a fun and friendly atmosphere. Challenges areheld on Saturdays starting at 2:30pm. The challenge consists <strong>of</strong> 9 holes at <strong>Los</strong> Feliz <strong>Golf</strong> Course or 9 holesat Roosevelt <strong>Golf</strong> Course and are limited to the first 25 sign-ups at each course. Ribbons will be awarded forFirst, Second and Third place finnishes. Any player winning the Weekly Challenge for 3 consecutive weekswill receive a 3-Peat Challenge Trophy. Sign-up by calling the <strong>Academy</strong> after 8am on Saturday mornings.<strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> Dress CodeThe Junior and Family <strong>Golf</strong> program has a very simple dress code meant to teach participantspr<strong>of</strong>essionalism, and the tradition <strong>of</strong> the game. The dress code must be respected during all classes,clinics, camps, and while at the <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> or participating in program sponsored events.Shirts:Pants:Caps:Collared shirt tucked in. No tank tops or t-shirts.Slacks or jeans (no jeans at competitive events).Shorts must be knee length (no cut<strong>of</strong>fs, spandex, or gym shorts).All caps and visors must be worn “bill forward”.


Summer Class Schedule for Recreation CentersClasses begin the week <strong>of</strong> July 7 and end September 22, 2014RECREATION CENTER JUNIOR GOLF: $40.00 INCLUDES TRANSPORTATION!Part <strong>of</strong> our mission at the <strong>Academy</strong> is to reach out to under-served youth age 7-17 whohave limited access to golf programs and opportunities. By providing discounted registrationfees and transportation from L.A. <strong>City</strong> Recreation Centers, our goal is to reachyoung golfers, and help them develop self-esteem and strong interpersonal skills as theylearn to play golf. Transportation is available from the following recreation centers.Transportation is limited to 7 children per center.Interested participants can MAIL or WALK IN a completed application with a $40check made payable to the “<strong>City</strong> <strong>of</strong> <strong>Los</strong> <strong>Angeles</strong>” indicating desired recreation center fromwhich transportation is needed. Applications will be accepted beginning May 28, 2013,and registration will continue until classes are full. Applications will be processed on afirst-come, first-served basis from daily mail deliveries and walk-in.RecreationFacilityCarlinG.Smith R.C.No.Weddington R.C.ShattoR.C.Bellevue R.C.Silverlake R.C.AddressPhoneDay/Time<strong>of</strong> Class511w. Ave 46, <strong>Los</strong> <strong>Angeles</strong>323-225-4960Monday4pm10844Acama St. North Hollywood818-506-1467Monday4pmMonday4pm3191W. 4th St., <strong>Los</strong> <strong>Angeles</strong>213-386-8877Monday5:45pm826Lucile Ave., <strong>Los</strong> <strong>Angeles</strong>323-664-2468Monday5:45pm1850W. Silverlake Dr., <strong>Los</strong> <strong>Angeles</strong>323-644-3946Monday5:45pmPickup/Drop-<strong>of</strong>f Time3:30/6:00pm3:30/6:00pm3:30/6:00pm4:45/7:45pm4:45/7:45pm4:45/7:45pmPanPacific R.C.Ritchie Vallens R.C.Sunland R.C.7600Beverly Blvd., <strong>Los</strong> <strong>Angeles</strong>323-939-8874Tuesday4pm10736Laurel Canyon, Pacoima818-834-5172Tuesday4pm8651Foothill Blvd., Sunland818-352-5285Tuesday4pmTuesdayTuesdayTuesday5:45pm5:45pm5:45pm3:30/6:00pm3:30/6:00pm3:30/6:00pm4:45/7:45pm4:45/7:45pm4:45/7:45pmResedaR.C.Hollywood R.C.YucccaR.C.Woodland Hills R.C.18411Victory Blvd. Resed a818-881-3882Wednesday4pm1122Cole Ave. <strong>Los</strong> <strong>Angeles</strong>323-467-6847Wednesday4pm6671Yucca St. <strong>Los</strong> <strong>Angeles</strong>323-957-6339Wednesday4pm5858Shoup Ave. Woodland Hills818=-883-9370Wednesday4pmWednesdayWednesday5:45pm5:45pm3:30/6:00pm3:30/6:00pm3:30/6:00pm3:15/6:15pm4:45/7:45pm4:45/7:45pmStudio<strong>City</strong>R.C.PoinsettiaR.C.GlassellR.C.Eagle RockCypressR.C.R.C.12621Rye St. Studio <strong>City</strong>818-769-4415Thursday4pm7341Willoughby Ave., <strong>Los</strong> <strong>Angeles</strong>323-876-5014Thursday4pmThursday4pm3650Verdugo Rd., <strong>Los</strong> <strong>Angeles</strong>323-257-1863Thursday5:45pm1110Eagle Vista Dr. <strong>Los</strong> <strong>Angeles</strong>323-257-6948Thursday5:45pm2630Pepper Ave., <strong>Los</strong> <strong>Angeles</strong>213-485-5384Thursday5:45pm3:30/6:00pm3:30/6:00pm3:30/6:00pm4:45/7:45pm4:45/7:45pm4:45/7:45pm


<strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> - Summer 2014Open Enrollment and Recreation Center ApplicationFirst Name ___________________________ Last Name_______________________Address______________________________ <strong>City</strong> _______________ Zip ________Home Phone ( ) ______________________ Emergency Phone ( ) _____________Mother/Guardian _______________________ Father/Guardian __________________Male ( ) Female ( ) Age _____ Birth Date __________________Email Address _________________________Returning Applicant ( ) New Applicant ( ) No Experience ___ A Little Experience __The following information is for statistical purposes only!Asian/Pacific Islander __ Black __ Hispanic __ White __ Other __Check one box next to the Recreation Center from which you need transportation or circle theOpen Enrollment Class ID if you will be transporting your child.Monday4pmMonday5:45pmTuesday4pmTuesday5:45pmWednesday4pmWednesday5:45pmThursday4pmThursday5:45pm[][]Shatto[]Pan Pacific[][]Reseda[][]Studio <strong>City</strong>[]Glassell[ ] Carlin G. Smith[]Silverlake[]Ritchie Vallens[][ }Hollywood/Yucca[][]Pointsettia[]E agle Rock[ ] No. Weddington[]Bellevue[]Sunland[][]Woodland Hills[][][]CypressMondayOpen EnrollmentClass ID 1031MondayOpen EnrollmentClass ID 1032TuesdayOpen EnrollmentClass ID 1033TuesdayOpen EnrollmentClass ID 1034WednesdayOpen EnrollmentClass ID 1035WednesdayOpen EnrollmentClass ID 1036ThursdayOpen EnrollmentClass ID 1037hursdayOpen EnrollmentClass ID 1038OpenEnrollmentSaturday8:30amClass ID 103910:30amClass ID 104012:30pmClass ID 10412:30pmClass ID 1042PARENT CONSENT FORMI, the undersigned, give permission for my child, whose name appears above, to participate in the <strong>Tregnan</strong> golf program. I understandthe nature <strong>of</strong> sports activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, andin proper physical condition to participate in such activity. I give permission for my child to be transported by <strong>City</strong> vehicles as a part<strong>of</strong> his or her participation in the <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> program. I agree to relieve the <strong>City</strong> <strong>of</strong> <strong>Los</strong> <strong>Angeles</strong> <strong>Department</strong> <strong>of</strong>Recreation and Parks, its <strong>of</strong>ficer agents and employees from any liability in connection with any injury to my child in connection withmy child’s participation.I, the undersigned parent <strong>of</strong> _________________________________________, a minor, do hereby authorize <strong>City</strong> <strong>of</strong> <strong>Los</strong><strong>Angeles</strong>, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> as agents for the under-signed to consent to X-ray examination, anesthetic, medical or surgicaldiagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or specializedsupervision <strong>of</strong> any physician licensed under the provisions <strong>of</strong> the Medical Practice Act on the staff <strong>of</strong> a licensed hospital, whethersuch diagnosis or treatment is rendered at the <strong>of</strong>fice <strong>of</strong> said physician or a said hospital. It is understood that this authorization isgiven in advance <strong>of</strong> any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise <strong>of</strong> his bestjudgement may deem advisable. This authorization shall remain effective for the duration <strong>of</strong> the program, unless revoked sooner inwriting and delivered to the <strong>Academy</strong>’s Executive Director.I understand that the program carries no insurance. I understand that I will be responsible for equipment provided by the programand that all equipment remains the property <strong>of</strong> the junior golf program.I agree to allow the use <strong>of</strong> any photographs and or images <strong>of</strong> my child participating in any sponsored event for any promotional and/or marketing materials.Persons authorized to pick my child up are: I give my permission for my child to sign him/herself out? Yes NoName _________________________ Address _____________________________________ Phone ________________Name _________________________ Address _____________________________________ Phone ________________Signature <strong>of</strong> Parent or Legal Guardian ____________________________________ Date _______________


Tiny Tots/Little Linksters/Pro Linksters - Summer 2014Check the class you’re applying for:LITTLE LINKSTERS Thurs., 4pm Class Id# 1043 ( ) Fri. 4pm Class Id# 1044 ( )Sat., 2:30pm Class Id# 1045 ( ) Sat. 4pm Class Id# 1046 ( )PRO LINKSTERS Wed., 4pm Class Id# 1047 ( ) Fri. 4pm Class Id# 1048 ( )Note: Pro Linksters must have been in two Little Linksters sessionsAre you New ( )or Returning ( ) Last Class Coach Session 20__Child’s First Name _____________________Last Name ________________________Address ____________________________<strong>City</strong> ______________ Zip ___________Home Phone ( ) ________________ Emergency Phone ( ) __________________Mother/Guardian _________________ Father/Guardian _______________________Male ( ) Female ( ) Age _____ Birth Date _________________E-mail Address: _______________________________________________________PARENT CONSENT FORMI, the undersigned, give permission for my child, whose name appears above, to participate in the <strong>Tregnan</strong> golf program. I understandthe nature <strong>of</strong> sports activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, andin proper physical condition to participate in such activity. I give permission for my child to be transported by <strong>City</strong> vehicles as a part<strong>of</strong> his or her participation in the <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> program. I agree to relieve the <strong>City</strong> <strong>of</strong> <strong>Los</strong> <strong>Angeles</strong> <strong>Department</strong> <strong>of</strong>Recreation and Parks, its <strong>of</strong>ficer agents and employees from any liability in connection with any injury to my child in connection withmy child’s participation.I, the undersigned parent <strong>of</strong> _________________________________________, a minor, do hereby authorize <strong>City</strong> <strong>of</strong> <strong>Los</strong><strong>Angeles</strong>, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> as agents for the under-signed to consent to X-ray examination, anesthetic, medical or surgicaldiagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or specializedsupervision <strong>of</strong> any physician licensed under the provisions <strong>of</strong> the Medical Practice Act on the staff <strong>of</strong> a licensed hospital, whethersuch diagnosis or treatment is rendered at the <strong>of</strong>fice <strong>of</strong> said physician or a said hospital. It is understood that this authorization isgiven in advance <strong>of</strong> any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise <strong>of</strong> his bestjudgement may deem advisable. This authorization shall remain effective for the duration <strong>of</strong> the program, unless revoked sooner inwriting and delivered to the <strong>Academy</strong>’s Executive Director.I understand that the program carries no insurance. I understand that I will be responsible for equipment provided by the programand that all equipment remains the property <strong>of</strong> the junior golf program.I agree to allow the use <strong>of</strong> any photographs and or images <strong>of</strong> my child participating in any sponsored event for any promotional and/or marketing materials.Persons authorized to pick my child up are: I give my permission for my child to sign him/herself out? Yes NoName _________________________ Address _____________________________________ Phone ________________Name _________________________ Address _____________________________________ Phone ________________Signature <strong>of</strong> Parent or Legal Guardian ____________________________________ Date _______________


Junior Tour - Summer 2014First Name ________________________ Last Name________________________Address __________________________ <strong>City</strong> _______________ Zip _________Home Phone ( ) ___________________ Emergency Phone ( ) ______________Mother/Guardian ____________________ Father/Guardian ___________________Male ( ) Female ( ) Age ____ Birth Date __________ Email _______________Are you New ( ) or Returning ( )Junior Tour at Roosevelt <strong>Golf</strong> CourseJunior Tour at <strong>Los</strong> Feliz <strong>Golf</strong> Course__Thursday 4:00-6:00pm Class ID 1049__Tuesday 4:00-6:00pm Class ID 1050__Thursday 4:00-6:00pm Class ID 1051Director’s Approval ______________________________________________Family <strong>Golf</strong> - Summer 2014Child’s First Name _______________________Last Name________________________Adult’s First Name ______________________ Last Name________________________Address _______________________________ <strong>City</strong> _______________ Zip _________Home Phone ( ) ___________________Emergency Phone ( ) ______________Child Only! Male ( ) Female ( ) Age _____ Birth Date ___________________Session <strong>of</strong> choice: ( )Session 1: July 6, 13, 20,& 27 10:00am-11:30am( )Session 2: Aug. 3, 10, 17, & 24 10:00am-11:30am( )Session 3: July 6, 13, 20, & 27 12:00pm - 1:30pm( )Session 4: Aug. 3, 10, 17, & 24 12:00pm - 1:30pm( )Session 5: July 6, 13, 20, & 27 2:00pm - 3:30pm( )Session 6: Aug. 3, 10, 17, & 24 2:00pm - 3:30pmPARENT CONSENT FORM FOR JUNIOR TOUR AND FAMILY GOLFI, the undersigned, give permission for my child, whose name appears above, to participate in the <strong>Tregnan</strong> golf program. Iunderstand the nature <strong>of</strong> sports activities and the minor’s experience and capabilities and believe the minor to be qualified, ingood health, and in proper physical condition to participate in such activity. I give permission for my child to be transported by<strong>City</strong> vehicles as a part <strong>of</strong> his or her participation in the <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> program. I agree to relieve the <strong>City</strong> <strong>of</strong> <strong>Los</strong> <strong>Angeles</strong><strong>Department</strong> <strong>of</strong> Recreation and Parks, its <strong>of</strong>ficer agents and employees from any liability in connection with any injury to my childin connection with my child’s participation.I, the undersigned parent <strong>of</strong> _________________________________________, a minor, do hereby authorize <strong>City</strong> <strong>of</strong> <strong>Los</strong><strong>Angeles</strong>, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> as agents for the under-signed to consent to X-ray examination, anesthetic, medical or surgicaldiagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or specializedsupervision <strong>of</strong> any physician licensed under the provisions <strong>of</strong> the Medical Practice Act on the staff <strong>of</strong> a licensed hospital, whethersuch diagnosis or treatment is rendered at the <strong>of</strong>fice <strong>of</strong> said physician or a said hospital. It is understood that this authorizationis given in advance <strong>of</strong> any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise <strong>of</strong> hisbest judgement may deem advisable. This authorization shall remain effective for the duration <strong>of</strong> the program, unless revokedsooner in writing and delivered to the <strong>Academy</strong>’s Executive Director.I understand that the program carries no insurance. I understand that I will be responsible for equipment provided by the programand that all equipment remains the property <strong>of</strong> the junior golf program.I agree to allow the use <strong>of</strong> any photographs and or images <strong>of</strong> my child participating in any sponsored event for any promotionaland/or marketing materials.Persons authorized to pick my child up are: I give my permission for my child to sign him/herself out? Yes NoName _________________________ Address _____________________________________ Phone ________________Name _________________________ Address _____________________________________ Phone ________________Signature <strong>of</strong> Parent or Legal Guardian __________________________________ Date _______________


SUMMER CAMP 2014GENERAL INFORMATIONThe <strong>Academy</strong> Summer <strong>Golf</strong> Camp is a great opportunity foryouth ages 7-17 who have never played the game before andfor those interested in improving their skills and knowledge<strong>of</strong> the game. This week long camp will include pr<strong>of</strong>essionalinstruction in full swing, chipping, pitching, putting, bunkerplay, course strategy, and much more.We will host 6 sessions this summer: June 9-13, June 16-20,June 23-27, June 30-July 3, July 7-11, July 14-18,July21-25, July 28-August 1 and August 4-8, 2013. The sessionwill begin at 8am each morning and end at 12pm. The sesssionis limited to 40 campers. Participants must provide their own transportation.There are no refunds for missed days.REGISTRATION INFORMATIONRegistration will begin on Tuesday, May 5, 2014 at 10am. Campers will be accepted on a first-come,first-served basis. Application and fee must be submitted at least one week prior to session.Session includes: pr<strong>of</strong>essional instruction, camp shirt, daily snack, and 9 hole tournament.Camp registration fee = $150/week. Session #4 =$120 / weekRegistration and payment must be complete by the Friday before the session.Summer Camp ApplicationJunior’s Name ____________________________________ Address ____________________________<strong>City</strong> ___________________________ Zip ____________ Home Phone __________________________Emergency Phone_________________________________ Parent/Guardian ________________________Male ___ Female ___ Age ___ (circle shirt size) Youth Small/ Medium / Large Adult Small / Medium / Large / X-LargeSession 1:_____June 9-13 Session 2:_____June 16 -20 Session 3:_____July 23-27Session 4:_____June 30-July 3 Session 5:_____July 7-11 Session 6:_____July 14-18Session 7:_____July 21-25 Session 8:_____July 28 - Aug. 1 Session 9:_____Aug. 4-8PARENT CONSENT FORMI, the undersigned, give permission for my child, whose name appears above, to participate in the <strong>Tregnan</strong> golf program. Iunderstand the nature <strong>of</strong> sports activities and the minor’s experience and capabilities and believe the minor to be qualified, ingood health, and in proper physical condition to participate in such activity. I give permission for my child to be transported by<strong>City</strong> vehicles as a part <strong>of</strong> his or her participation in the <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> program. I agree to relieve the <strong>City</strong> <strong>of</strong> <strong>Los</strong> <strong>Angeles</strong><strong>Department</strong> <strong>of</strong> Recreation and Parks, its <strong>of</strong>ficer agents and employees from any liability in connection with any injury to my childin connection with my child’s participation.I, the undersigned parent <strong>of</strong> _________________________________________, a minor, do hereby authorize <strong>City</strong> <strong>of</strong> <strong>Los</strong><strong>Angeles</strong>, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> as agents for the under-signed to consent to X-ray examination, anesthetic, medical or surgicaldiagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or specializedsupervision <strong>of</strong> any physician licensed under the provisions <strong>of</strong> the Medical Practice Act on the staff <strong>of</strong> a licensed hospital, whethersuch diagnosis or treatment is rendered at the <strong>of</strong>fice <strong>of</strong> said physician or a said hospital. It is understood that this authorizationis given in advance <strong>of</strong> any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise <strong>of</strong> hisbest judgement may deem advisable. This authorization shall remain effective for the duration <strong>of</strong> the program, unless revokedsooner in writing and delivered to the <strong>Academy</strong>’s Executive Director.I understand that the program carries no insurance. I understand that I will be responsible for equipment provided by the programand that all equipment remains the property <strong>of</strong> the junior golf program.I agree to allow the use <strong>of</strong> any photographs and or images <strong>of</strong> my child participating in any sponsored event for any promotionaland/or marketing materials.Persons authorized to pick my child up are: I give my permission for my child to sign him/herself out? Yes NoName _________________________ Address _____________________________________ Phone ________________Name _________________________ Address _____________________________________ Phone ________________Signature <strong>of</strong> Parent or Legal Guardian __________________________________ Date _______________


SUMMER TOURNAMENTSSUMMER TOURNAMENTSThe <strong>Academy</strong> will host three tournaments for <strong>Academy</strong> members this season. Current membership card mustbe presented to register. Trophies will be awarded for 1st, 2nd, and 3rd place finishers in each flight.Flights are determined by staff and based on the number <strong>of</strong> tournament entries.Girls <strong>Golf</strong> Club Tournament Entry Fee $10Our Girls <strong>Golf</strong> Club Tournament will be held at <strong>Los</strong> Feliz <strong>Golf</strong> Course on Saturday, September 27, 2014.The tournament is limited to first 24 members to register. First tee time will be at 1:00pm. Participants willbe phoned with actual tee time by Thursday afternoon.9-Hole Tournament Entry Fee $10Our 9-hole Tournament will be held at <strong>Los</strong> Feliz <strong>Golf</strong> Course on Saturday, September 27, 2014.The tournament is limited to the first 48 members to register. First tee time will be at 1:30pm. Participantswill be notified with actual tee time by Thursday afternoon.Junior Executive Tournament Entry Fee $15The Junior Executive Tournament will be held at Roosevelt <strong>Golf</strong> Course on Saturday, September 27, 2014.<strong>Academy</strong> members must be able to shoot “double bogie” golf on an executive course. Director <strong>of</strong> Instructionwill have final approval <strong>of</strong> junior’s participation based on skills, etiquette, and rules knowledge. Firsttee time will be at 1:30pm. Participants will be notified with actual tee time by Thursday afternoon.Registration for Summer Tournaments will begin on Monday, August 18th at 10:00am.Summer Tournament ApplicationJunior’s Name ____________________________________ Address ____________________________<strong>City</strong> ___________________________ Zip ____________ Home Phone __________________________Emergency Phone_________________________________ Parent/Guardian ________________________Male ___ Female ___ Age ___Girls <strong>Golf</strong> Club Tournament ( ) 9-Hole Tournament ( ) Junior Executive Tournament ( )PARENT CONSENT FORMI, the undersigned, give permission for my child, whose name appears above, to participate in the <strong>Tregnan</strong> golf program. Iunderstand the nature <strong>of</strong> sports activities and the minor’s experience and capabilities and believe the minor to be qualified, ingood health, and in proper physical condition to participate in such activity. I give permission for my child to be transported by<strong>City</strong> vehicles as a part <strong>of</strong> his or her participation in the <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> program. I agree to relieve the <strong>City</strong> <strong>of</strong> <strong>Los</strong> <strong>Angeles</strong><strong>Department</strong> <strong>of</strong> Recreation and Parks, its <strong>of</strong>ficer agents and employees from any liability in connection with any injury to my childin connection with my child’s participation.I, the undersigned parent <strong>of</strong> _________________________________________, a minor, do hereby authorize <strong>City</strong> <strong>of</strong> <strong>Los</strong><strong>Angeles</strong>, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong> as agents for the under-signed to consent to X-ray examination, anesthetic, medical or surgicaldiagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or specializedsupervision <strong>of</strong> any physician licensed under the provisions <strong>of</strong> the Medical Practice Act on the staff <strong>of</strong> a licensed hospital, whethersuch diagnosis or treatment is rendered at the <strong>of</strong>fice <strong>of</strong> said physician or a said hospital. It is understood that this authorizationis given in advance <strong>of</strong> any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise <strong>of</strong> hisbest judgement may deem advisable. This authorization shall remain effective for the duration <strong>of</strong> the program, unless revokedsooner in writing and delivered to the <strong>Academy</strong>’s Executive Director.I understand that the program carries no insurance. I understand that I will be responsible for equipment provided by the programand that all equipment remains the property <strong>of</strong> the junior golf program.I agree to allow the use <strong>of</strong> any photographs and or images <strong>of</strong> my child participating in any sponsored event for any promotionaland/or marketing materials.Persons authorized to pick my child up are: I give my permission for my child to sign him/herself out? Yes NoName _________________________ Address _____________________________________ Phone ________________Name _________________________ Address _____________________________________ Phone ________________Signature <strong>of</strong> Parent or Legal Guardian __________________________________ Date _______________


Mayor Eric Garcetti<strong>Department</strong> <strong>of</strong> Recreation and ParksBoard <strong>of</strong> Recreation and Park CommissionersLynn Alvarrez, PRESIDENTIris Zuniga, VICE PRESIDENTKafi D. Blumenfield, MEMBERMisty M. Sanford, MEMBERSylvia Patsaouras, MEMBERAdministrationMichael A. Shull, General ManagerRegina Adams, Executive OfficerKevin Regan, Assistant General Manager<strong>Golf</strong> DivisionJames Ward, <strong>Golf</strong> ManagerMichael Hogan, Senior Recreation Director I, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong>Jeffrey Barber, Director <strong>of</strong> Instruction, <strong>Tregnan</strong> <strong>Golf</strong> <strong>Academy</strong>

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