2021 Team ACE Registration

PROGRAM:

BETA

ALPHA

GAMMA

PGA JR. LEAGUE

Junior Name

First Name

Last Name

Birthday

Age

NCGA / YOC #

Parent Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

CONSENT

I hereby consent that my son/daughter can participate in the below activity, and I hereby execute the Agreement, Waiver, and Release on his/her behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense that they may incur as a result of the death or injury or property damage that said minor may sustain while participating in said activity. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE DISTRICT AND I SIGN IT OF MY OWN FREE WILL

PRINT REGISTRATION FORM

2021 Team ACE Registration

QUESTIONS? CALL THE PRO SHOP AT (209) 825-2500

MANTECA PARK GC: (209) 825-2500 • 305 N Union Rd. Manteca, CA 95336