Let all of them experience hard work, learning and practice!  This is an opportunity to reinforce golf skills, and have a chance to excel at the game of golf.  Each lesson includes instruction, competitions, rules, etiquette, scoring and fun !

PLEASE FILL OUT THE REGISTRATION FORM & SIGN PARENTAL AGREEMENT

I, the parent/guardian of the golf camp program(s) herby give approval for his/her participation in any and all activities during the “Kids in Golf” Summer Camp. I assume all risks and hazards incidental to such participation including transportation to and from the activities and agree to hold harmless “The Lutz Executive Golf Center”, and organizers, teaching professionals and participants. I also authorize program organizers to contact emergency medical service to perform first response medical treatment in the event my child/ward shall be injured while participating in this activity. I also understand that my child/ward is not covered by accident insurance through any of the aforementioned parties and I am responsible for any such occurrences.

Parent/Guardian Signature and Date: Printed Name _______________________

______________________________________

Name ____________________ Age ____ Birthday _____________

Email: _____________________ Deposit Received $25. (non-refundable)_________

Parent/Guardian ________________________________________________

Phone #’s _______________________________________________________

Emergency Contact(s)________________________________________________

Sessions Attending -
5 days $155 - June 14 - 18____
4 Days - $126 June 21 – 24 ____
3 Days - $95 - June 28– 30 ____ July 7 - 9 ____ July 12 – 16 ____ July 20 – 23 ____
July 26 – 29 ___ August 2-4 ____

Registration for EXTRAVAGANZA August 7th -Total Paid $40.00 ______

ALL PRICES HAVE BEEN LOWERED TO HELP

Email - Lutzexec@verizon.net Mail the COMPLETED form (or drop it by The Center) with all deposits to The Lutz Executive Golf Center, 2220 Newberger Road, Lutz, Florida 33549. AFTER May 15TH: Please call to make sure the session is still available before mailing your deposits.