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

More documents

Recommendations

Info

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 ____________________________City ______________ 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 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 _______________
Junior Tour - Summer 2014First Name ________________________ Last Name________________________Address __________________________ City _______________ Zip _________Home Phone ( ) ___________________ Emergency Phone ( ) ______________Mother/Guardian ____________________ Father/Guardian ___________________Male ( ) Female ( ) Age ____ Birth Date __________ Email _______________Are you New ( ) or Returning ( )Junior Tour at Roosevelt Golf CourseJunior Tour at Los Feliz Golf 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 Golf - Summer 2014Child’s First Name _______________________Last Name________________________Adult’s First Name ______________________ Last Name________________________Address _______________________________ City _______________ Zip _________Home Phone ( ) ___________________Emergency Phone ( ) ______________Child Only! Male ( ) Female ( ) Age _____ Birth Date ___________________Session of 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 Tregnan golf program. Iunderstand the nature of 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 byCity vehicles as a part of his or her participation in the Tregnan Golf Academy program. I agree to relieve the City of Los AngelesDepartment of Recreation and Parks, its officer agents and employees from any liability in connection with any injury to my childin connection with my 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 authorizationis given in advance of any such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of hisbest judgement may deem advisable. This authorization shall remain effective for the duration of the program, unless revokedsooner in writing 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 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 of Parent or Legal Guardian __________________________________ Date _______________
Page 1: CITY OF LOS ANGELES DEPARTMENT OF R
Page 6 and 7: Summer Class Schedule for Recreatio
Page 10 and 11: SUMMER CAMP 2014GENERAL INFORMATION
Page 12: Mayor Eric GarcettiDepartment of Re

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?