Golf Camp Registration Form - Thanksgiving & Winter Break 2023/2024

Thanksgiving & Winter Break 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 . Sessions are offered during the following weeks:

November 20, 21, 22, 24

December 26, 27, 28, 29

Janaury 2, 3, 4, 5

Camp fees are $250 for a four day week (4 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!

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?*

November20, 21, 22, 24 (4 day week)-$250December 26, 27, 28, 29 (4 day week) - $250January 2, 3, 4, 5 (4 day week) - $250Pro rated in dividual 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 11/20-11/22 and 11/24$250.00

Full week of 12/26-12/29$250.00

Full week of 1/2-1/5$250.00

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

Full week - Conejo Deal - Prepaid $ Free

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Thanksgiving & Winter Break 2023/2024 Golf Camp Registration Form

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