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

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Summer Class Schedule for Recreation CentersClasses begin the week of July 7 and end September 22, 2014RECREATION CENTER JUNIOR GOLF: $40.00 INCLUDES TRANSPORTATION!Part of our mission at the Academy 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. City 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 “City of Los Angeles” 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/Timeof Class511w. Ave 46, Los Angeles323-225-4960Monday4pm10844Acama St. North Hollywood818-506-1467Monday4pmMonday4pm3191W. 4th St., Los Angeles213-386-8877Monday5:45pm826Lucile Ave., Los Angeles323-664-2468Monday5:45pm1850W. Silverlake Dr., Los Angeles323-644-3946Monday5:45pmPickup/Drop-off 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., Los Angeles323-939-8874Tuesday4pm10736Laurel 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. Los Angeles323-467-6847Wednesday4pm6671Yucca St. Los Angeles323-957-6339Wednesday4pm5858Shoup Ave. Woodland Hills818=-883-9370Wednesday4pmWednesdayWednesday5:45pm5:45pm3:30/6:00pm3:30/6:00pm3:30/6:00pm3:15/6:15pm4:45/7:45pm4:45/7:45pmStudioCityR.C.PoinsettiaR.C.GlassellR.C.Eagle RockCypressR.C.R.C.12621Rye St. Studio City818-769-4415Thursday4pm7341Willoughby Ave., Los Angeles323-876-5014Thursday4pmThursday4pm3650Verdugo Rd., Los Angeles323-257-1863Thursday5:45pm1110Eagle Vista Dr. Los Angeles323-257-6948Thursday5:45pm2630Pepper Ave., Los Angeles213-485-5384Thursday5:45pm3:30/6:00pm3:30/6:00pm3:30/6:00pm4:45/7:45pm4:45/7:45pm4:45/7:45pm
Tregnan Golf Academy - Summer 2014Open Enrollment and Recreation Center ApplicationFirst Name ___________________________ Last Name_______________________Address______________________________ City _______________ 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 City[]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 Tregnan golf program. I understandthe nature of 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 City vehicles as a partof his or her participation in the Tregnan Golf Academy program. I agree to relieve the City of Los Angeles Department ofRecreation and Parks, its officer agents and employees from any liability in connection with any injury to my child in connection withmy child’s participation.I, the undersigned parent of _________________________________________, a minor, do hereby authorize City of LosAngeles, Tregnan Golf Academy 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 of any physician licensed under the provisions of the Medical Practice Act on the staff of a licensed hospital, whethersuch diagnosis or treatment is rendered at the office of said physician or a said hospital. It is understood that this authorization isgiven in advance of any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his bestjudgement may deem advisable. This authorization shall remain effective for the duration of the program, unless revoked sooner inwriting and delivered to the Academy’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 of the junior golf program.I agree to allow the use of any photographs and or images of 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 of Parent or Legal Guardian ____________________________________ Date _______________
Page 1: CITY OF LOS ANGELES DEPARTMENT OF R
Page 8 and 9: Tiny Tots/Little Linksters/Pro Link
Page 10 and 11: SUMMER CAMP 2014GENERAL INFORMATION
Page 12: Mayor Eric GarcettiDepartment of Re

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

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