Monday 12:15-1:25 Lunch Bunch/ Golf

What:

Come join Kate and Meredith for a unique early childhood experience!

Creative movement games, overall athletic development and Birdie Basics™ golf are just a few of the child centered activities we will deliver throughout the semester.

All of our activities are intentionally designed, developmentally appropriate and with the whole child in mind- helping them to develop socially, emotionally, cognitively and physically all while having FUN!.

Where:

Country Club Of New Canaan Camp Room and Soccer Field

When:

Mondays 12:15- 1:30 children will need to bring lunch as we will have a brief lunch period upon arrival.

March 31

April 7, 21 and 28

May 5, 12 and 19

Cost:

$469

Payment can be made:

Venmo: Kate-Tempesta

Zelle: 917 650 5668

Check: Birdie Basics™ 27 Hawthorne Rd New Canaan, CT 06840

Classes will be taught by Kate Tempesta, Meredith Gray

Kate Tempesta’s education, and early career, focused on exercise science and fitness. She later transitioned to the educational arena where she created and taught the movement education program at St. Thomas More Play Group for ten years. After becoming an LPGA T&CP member, she founded the Urban Golf Academy (2007-2020) to combine her passions for golf, early childhood education, and movement. UGA went on to teach thousands of children ages 3-8 for over a decade. She created a popular summer camp in Central Park that incorporated golf, creative movement, art and dramatic play. She is the Creator of Birdie Basics™, a golf program specifically designed with the child in mind. Birdie Basics™ is licensed to over 100 golf professionals. Kate is a Golf Magazine Top 100 Teacher. She moved to New Canaan in March of 2020 where she teaches group classes for ages 3-8. Kate has one son (Charlie 5).

Meredith Gray is a certified teacher specializing in early childhood. She received her master’s in elementary education from New York University and has over 18 years teaching experience in NYC private schools, Darien schools and Birdie Basics. She is trained in Learning Without Tears and has tutored children for the ERBs. Meredith has three daughters (Reagan 12, Hayden 10, and Parker 4).

Child's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

MaleFemale

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Name

First NameLast Name

Home Number

Cell Number

E-mail

example@example.com

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Alt. Phone Number

Dominant hand

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

Is the child prescribed an inhaler? If yes, please explain any instructions.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Birdie Basics™ during the selected class. In exchange for the acceptance of said child’s candidacy by Birdie Basics™ I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Birdie Basics™ and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected class sessions.

In case of injury to said child, I hereby waive all claims against Birdie Basics™ including all coaches and affiliates, host families, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named child I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Birdie Basics™ and its affiliates including Directors and Team to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

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

Date

*** please note that you will officially be registered once payment and waiver is submitted***