Golf Camp Registration Form - President's Week 2023

Presiden'ts Week Golf Camp is now open for registration! Camp is offered to students ages 6-16. Students will receive full swing, chipping, putting and on course instruction. Camp session are held from 9:00am -12:00pm at Camarillo Springs Golf Course. Sessions are currently offered during the following weeks:

February 20-24, 2023

Camp fees are $300 for a full week (5 days of camp) and pro-rated daily rates are available at $65/day.

Camp will be limited to 24 students, with a 6:1 student/teacher ratio. Those who register after our class capacity has been reached will be placed on a waitlist. Thank you for your patience and understanding! COVID protocols will be followed.

Please note, if you are registering for more than one student, you will need to fill out this form seperately for each student.

Student Information

Which camp days are you registering for?*

February 20, 21, 22, 23, 24 (full 5 day week) - $300Pro rated individual days - $65/day

If you are registering for pro-rated individual dates instead of a full camp week, please indicated which dates you are registering for:

Students Name*

First NameLast Name

Age*

Parent/Guardian Information

Name*

First NameLast Name

Home or Cell Number*

Area CodePhone Number

E-mail*

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.*

How did you hear about us?*

Release from Liabilities:

You assume your child may be at risk and danger incidental to the game of golf and the golf lesson and release the Golf Professionals, golf course, owners, employees and agents thereof from any and all liabilities resulting from such cases. Jacob Lusk (and other Golf Professionals) are running this camp at Camarillo Springs Golf Course.The golf course is not responsible for any liabilities arising out of this program nor does it know the details of the program. You do not pay the course but to the Professionals. The Golf Professionals are not responsible for children arriving early or picked up late.

In order to adhere to COVID 19 rules and regulations, the junior golf clinic will ensure social distancing by placing all mats 6 or more feet apart. Range balls and baskets will be cleaned and sterilized. Club sharing or borrowing will not be allowed at this time. However, students who do not have their own clubs will be issued a loaner set (at no additional charge) to use during the lesson time. The clubs will be sterilized prior to use. Hand sanitizer will be available at all times. Masks will be worn by instructors and highly recommended to students. If at any time a student has a fever or is feeling unwell, they will not be allowed to participate in the clinic.

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature*

Clear

Clinic Registration Fee

Full week of February 20-24, 2023$300.00

Prorated rate for 4 individual days - $260.00

*Prorated rate for 3 individual days -$195.00

** Prorated rate for 2 individual days - $130.00

*** Prorated rate for 1 individual day - $65.00

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President's Week Golf Camp Registration Form 2023

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