CHGA Junior Golf Camps 2010 Age 9-16

This form is used to Register Online for a 2010 Copper Hill Golf Academy Junior Golf Camp

  Do you have clubs to bring to the program? Yes No (Note : clubs are not necessary, rental clubs can be arranged on the payment page)

  How did you find out about our program?  have attended previous program referral from a past attendee copperhillgolf.com or internet other Experience never played driving range only limited golf course frequent golf course

Medical Information and Medical Waiver

Please list specific allergies / treatment / dietary restrictions

Please list any special medical or psychological information not already mentioned.

Do you (your child) regularly take any medication, if so please list.

Does your child have any other special requirements?

The health information on this sheet to my knowledge is accurate, and the person herein described has permission to engage in all golf program activities except as noted. In the event I cannot be reached in an emergency, I give permission to the Physician selected by Copper Hill Golf Academy's Director to secure and administer treatment, including hospitalization, for myself or my child named above.
*Accept :

Copper Hill Golf Academy & Driving Range is not responsible for personal injuries, damage, or losses that may occur. As in any sports activity, there is a certain amount of inherent risk involved. Your acceptance on this registration form indicates recognition of those risks to you or your child, and accepting these risks, you are granting permission to participate.
*Accept :

Comments or Notes to Copper Hill Golf Academy

Send Confirmation via

Email (preferred)
U.S. Post

(please note, camp is not confirmed until payment is received)