2025 Crestmoor Junior Golf Registration

2025 Crestmoor Junior Golf Registration
Student Information
Student Information*

First NameLast Name
Male or Female*
Age as of June 1st*
Parent/Guardian Information
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 1 Phone*
Please enter a valid phone number.
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Phone
Please enter a valid phone number.
Parental Consent
I certify, that in the event emergency medical care must be rendered to my child and the above persons cannot be contacted, the necessary medical consent may be given by the instructor or an authorized member of the committee.

If your child has any medical concerns, it is required that you provide our committee or instructors with this information. If you wish, you may list these conditions on the back of this form. This is only to help the committee and instructors should your child become ill.

The undersigned hereby consents to allow the named contestant(s) to participate in the 2025 Junior Golf Program and give full release of liability and discharge or obligation to the committee representatives and instructors.
Type of Junior Golf Registration*

Crestmoor Member ($30)NOT a Crestmoor Member ($40)
Parent/Guardian Signature*

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Registration Amount

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USDCreston Junior Golf VENMO
Today's Date*

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Date
Payment Methods

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Student Information