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Event Registration - Copper Hill PGA Junior League

Registration: PGA Junior League Travel Team 2 (Spring) (Apr 21, 2019 04:00 pm - 06:15 pm)

2019 Spring Junior PGA Jr League
USER INFORMATION
Title:
First Name:
Last Name:
City:
State:
Zip:
Email:
Confirm Email:
Phone:
Birthday:
Shirt Size:
1
Level of Experience:
Other Pickup:
1
Medical Waiver
Please list specific allergies/treatment:
Please list any special dietary restrictions:
Please list any special medical or psychological information not already mentioned:
If there are medications that your child takes that may have an impact on successful completion of the program, please list here:
Are there any other special problems that Copper Hill should know about?:
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 that I or my designated appointee 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 my child named above.
I agree to the above statement:
Yes  No  
Notes to Copper Hill:
Current Age:
I agree to the terms and conditions:  
 Read Terms & Conditions
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