2025 FCGC Youth Golf Camp

2025 FCGC Youth Golf Camp
Camp Fee - $50.00 / participant

Includes daily lunch and camp t-shirt
Camp Fee Payment Preference:
Please pay via Venmo (@FallsCityGolf) and indicate Child's Name and "Youth Golf Camp" in the What's It For memo line.

Venmo Link Here (Or Scan QR Code)

Can also bring Cash or Check (made payable to Falls City Golf Course) prior to Monday 6/9, 9AM start time.
Falls City Golf Course Venmo:
Participant Information
Child Name

First NameLast Name
Child's Age
Child's Grade (beginning Fall 2025)
Gender

MaleFemale
Camper Golf Clubs:

I have my ownI need a set to borrow
Child T-Shirt Size

Adult XSAdult SAdult MAdult LAdult XL
Parent/Guardian Information
Name 1

First NameLast Name
Name 2 (Optional)

First NameLast Name
Work Phone
Cell Phone
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Informed Consent and Acknowledgement

I hereby provide my consent for my child's participation in all activities organized by the golf camp during the camp session. By accepting my child's participation, I acknowledge and accept all the potential risks and hazards associated with these activities. I release, exempt, and indemnify the camp and all its representatives, agents, host site and affiliages from any responsibility for injuries that may occur to my child during their travel to, engagement in, or return from the camp sessions.

If my child sustains an injury, I waive any claims against the camp, including its coaches, affiliates, fellow participants, supporting organizations, advertisers, and, if applicable, the owners and landlords of the premises where the event is held. Engaging in sports activities, including golf, inherently carries a risk of injury, which may include but is not limited to fractures, paralysis, or even fatality.
Signature of Informed Consent and Acknowledgement*

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Medical Release and Authorization

As the legal guardian of the child listed, I hereby grant permission for qualified and licensed medical professionals to diagnose and administer treatment in the event of a medical emergency. This authorization is applicable when, in the medical professional's judgment, immediate attention is necessary to prevent further harm to the minor child's life, physical appearance, physical functionality, or to alleviate undue pain, suffering, or discomfort should there be a delay in treatment.

I hereby give consent to the attending physician to undertake any necessary medical or minor surgical procedures, conduct X-ray examinations, and administer immunizations to the youth athlete named. In cases of a serious illness, the requirement for major surgery, or significant accidental injury, I am aware that the attending physician will make every reasonable effort to contact me as swiftly as possible before proceeding with treatment. This authorization is granted after a reasonable attempt has been made to reach me.

I also authorize the affiliated individuals, including Directors, Coaches, and Team Parents, to provide essential emergency treatment before the child is admitted to a medical facility.

This consent is valid during the dates and for the duration of the camp. I willingly provide this authorization to ensure prompt medical treatment under emergency circumstances, safeguarding the life and well-being of the named minor child when I am not present.
Signature of Medical Release and Authorization*

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2025 FCGC Youth Golf Camp

Camp Fee - $50.00 / participant