Young Gents, Inc. 2021-2022 Consortium

Young Gents, Inc. 2021-2022 Consortium

All information on this form is strictly confidential
Young Gent's Full Name*

First NameMiddle InitialLast NameSuffix (i.e. Jr. III, etc.)
Age*
Date of Birth*

MonthDayYear
School Name*
School Type*

Private/IndependentPublicHomeschool
Current Grade*
Parent Contact Information (Mother)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone*
E-mail*
example@example.com
Does your Young Gent’s mother, mother figure or guardian play golf?*

YesNo
Is your Young Gent’s mother, mother figure or guardian interested in golf lessons?*

YesNo
Parent Contact Information (Father)

First NameLast Name
Check this box if the address is the same as above.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone
E-mail
example@example.com
Does your Young Gent’s father, father figure or guardian play golf?

YesNo
Is your Young Gent’s father, father figure or guardian interested in golf lessons?

YesNo
Is this your son’s first time enrolling in Young Gent’s, Inc.?*

YesNo
If no, please select each year your son has been involved in the YGI Movement.

2016-20172017-20182018-20192019-20202021
2021 – 2022 Consortium, Events & Travel

My Young Gent will participate in: (select all that apply)
Dollars, Sense & Etiquette on the Greens Consortium (Sept 2021 – June 2022)*

YesNo
OPTIONAL: Saturday, December 4th (MORNING) Children’s Healthcare of Atlanta Breakfast at the Four Seasons & Reserved Seating for the Christmas Parade. Note: This event was cancelled last year due to COVID. CHOA will provide an update re: if the event will take place this year.

YesNoUndecided
Number of children attending in your party*
Number of adults attending in your party*
OPTIONAL: Saturday, December 4th (LATE AFTERNOON) – Ice Skate the Sky at Atlantic Station*

YesNoUndecided
Number of children attending in your party*
Number of adults attending in your party*
OPTIONAL: January 13 – 17, 2022 ML King, Jr. Holiday Ski Trip to Jackson Hole, Wyoming*

YesNoUndecided
Number of children attending in your party*
Number of adults attending in your party*
I agree to complete waivers of liability and/or required signed releases for participation in all YGI, Inc. events and activities.*

YesNo
I grant permission and consent to Young Gents, Inc. (“Releasee”) for the use of photograph(s) and/or videos of myself, the young gent I am legally responsible for, and anyone attending YGI related events at my invitation for presentation under any legal condition, including but not limited to publicity, copyright purposes, illustration, advertising, social media, and web content.*

YesNo
2021 - 2022 Consortium Tuition

$1,750

Tuition Includes:

All consortium costs for meals, golf lessons, books, attire, charitable contribution to philanthropy partner and golf tournament registration. Tuition does not include optional activities, events and travel.

Payment Options:

One-time payment of $1,750

2 payments of $875

5 payments of $350

7 payments of $250

10 payments of $175*

If a multiple payment option is selected, payments will be drafted for each consecutive month that is associated with the payment option selected.

* Payment option is only available if registration is submitted by August 25, 2021.