PGA Junior Group Class

Student's Name (English) 學生英文名字 *

First NameLast Name

Chinese Name 學生中文名字

Name on Certificate 證書全名 *

Is the student a PGA Development Center - Waterfall Youth Member? 學生是PGA Development Center - Waterfall 的青少年會員嗎 *

PGA Development Center - Waterfall Youth Membership # 學生的青少年會員號碼

If you have a PGA Youth Membership #, but do not know your #, please contact us at tel 3526-0270, WhatsApp 9137-8386, or info@pacificpinegolf.com with your child's name, parent's name, HK ID to obtain your membership # to proceed and receive the discounted membership price. Thanks.

Today

Date

Date of Birth 出生日期 *

Date

Age

Gender 性別 *

Height (cm) 身高 *

Student's HK ID 學生香港身分証

School 學校 *

Golf Experience 打球經驗 *

Where did the student previously play golf? 學生之前在哪裡打過高爾夫？

Where did the student previously take golf lessons? 學生之前曾在哪裡上過高爾夫課程？

Are you an existing PGA Junior student at PGA Development Center - Waterfall? 您目前是否為PGA Development Center-Waterfall 的學員？

YesNo

Left- or Right-Handed 左撇還是右撇 ?*

Clubs required 需要球桿嗎 ?*

If needed, complimentary golf clubs are provided for the student during the class. Our PGA golf coach can also make recommendations on suitable golf clubs.

Handicap, if any 高爾夫球差點

How many sessions per week do you want to sign up for per week? You have the option to select for multiple sessions per week below, if you wish. 1 Toptracer premium bay voucher (valued up to HK$220) will be provided for multiple sessions per week. 每星期想報名多少節課？*

Program Availability Per Session. Please choose the day of the week and time. If you wish to sign up for more than 1 session/week, you can select multiple sessions below.*

How many different weekly session classes do you wish to sign up for? 您想報名幾節課程？*

Total amount for the week

Any comments you wish to include? 您是否有其他意見或建議想要補充？

PGA Junior On-Course Group Class / PGA青少年下場團體課程 After completing the 10-week program, would you be interested in enrolling in an on-course PGA Junior On-Course Group Class at our PGA Golf Academy – Mission Hills, Shenzhen? 完成為期10週的課程後，您是否有興趣報名於美國PGA高爾夫學院–深圳觀瀾湖舉辦的 PGA青少年下場團體課程？

Yes, please send me more details. 是的，請提供更多資訊。No, thank you. 不用了，謝謝。I’m not sure, please send me more details. 尚未確定，請提供更多資訊。

Please provide your WeChat ID to receive additional information regarding the PGA Junior On-Course Group Class offered in China. 請留下您的微信，以便我們向您提供有關 PGA青少年下場團體課程的更多資訊。

If you had previously filled out your WeChat ID in this form, you can leave this blank.

PGA Junior Fall Golf Camp / PGA青少年高爾夫秋假營 Would you be interested in signing up for a PGA Junior Fall Golf Camp during one of the weeks between September 29 and October 31? Camps will be held each week during this period in Hong Kong, Shenzhen, Shanghai, Beijing, Sanya, and Haikou. Boarding camp options are available at PGA Golf Academies in Shenzhen, Shanghai, Sanya, and Haikou. 您是否有興趣報名參加於 9月29日至10月31日期間舉辦的 PGA青少年高爾夫秋假營？此期間每週都會在香港，深圳，上海，北京，三亞，海口的美國PGA高爾夫學院舉辦營。深圳，上海，三亞以及海口的營有提供走讀和住宿營*

Yes, please send me more details. 是的，請提供更多資訊。No, thank you. 不用了，謝謝。I’m not sure, please send me more details. 尚未確定，請提供更多資訊。Other

Which PGA Junior Golf Camp location(s) would you be interested in?您對哪一個/哪些PGA青少年高爾夫營地感興趣？

Please provide your WeChat ID to receive additional information regarding the PGA Junior Fall Golf Camp offered in China. 請留下您的微信，以便我們向您提供有關 PGA青少年高爾夫秋假營（中國開設）的更多資訊。

If you had previously filled out your WeChat ID in this form, you can leave this blank.

Parent's Name*

First NameLast Name

Parent's Mobile #*

Email*

example@example.com

WeChat ID

Please provide if you are interested in our programs at our academies in China. Thanks.

Mailing Address*

Street Address

Street Address Line 2

City*

Country*

Guardian's Name:

Guardian's Mobile #

People approved for child collection*

How did you hear about the PGA Junior program?*

Referral Code or Referrer's person's FULL NAME + contact email or mobile

Please type all referrals codes in CAPITAL LETTERS.

Any particular program(s) you would like to learn about at PGA Development Center - Waterfall in Hong Kong, PGA Learning Centers - China, or our other PacificPine Sports' brands?*

Amount

My Products

HKDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

TERMS & CONDITIONS

LIABILITY WAIVER

I affirm that the participant ("Child") has my consent to participate in any camp or program offered by PacificPine Sports Limited and/or PacificPine Golf Limited. I recognize and acknowledge that there are certain risks of physical injury to participants in these programs, and I agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child or I may sustain as a result of said participation. I understand that there is an element of risk inherent in youth sports, and as parent/legal guardian of the Child I take full responsibility for his/her actions and physical condition. Furthermore, I understand that certain risks, dangers, and injuries due to things such as inclement weather, slipping, falling, exposure to infectious diseases, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defect, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to youth sports programs exist. Therefore, it is recognized that it is impossible for PacificPine Sports Limited and/or PacificPine Golf Limited to guarantee absolute safety. I release and agree to indemnify and hold harmless PacificPine Sports Limited and/or PacificPine Golf Limited and its representatives, volunteers, and agents from all claims or liability for loss, damages and/or injuries, to the named Child and/or any third parties person or property, caused by and resulting from any causes whatsoever.

MEDICAL RELEASE
I hereby give full permission for any and all medical treatment necessary to be administered to the Child in the event of an accident, injury, sickness, etc., under the direction of PacificPine Sports Limited and/or PacificPine Golf Limited until such time as I may be contacted. I further give permission to the PacificPine Sports Limited and/or PacificPine Golf Limited staff to use and disclose the medical information provided on this form for purposes related to such medical treatment. The release is effective for the time during which my child is participating in any of the camps or programs held at the PGA Development Center-Waterfall. I also hereby assume the responsibility for payment of such treatment.

REMARKS:

- No refund under any circumstances.

- Only 1 make-up class will be offered. The lesson will be scheduled for the week after the last lesson.

- Renewal fee must be paid on or before the second last lesson to reserve your spot.

- In case of Typhoon 3 signal or higher is hoisted, all lessons will be postponed (Refer to our severe weather arrangements)

- Above offers are subject to change without prior notice.

- PGA Development Center - Waterfall reserves the right of final interpretation.

PHOTOGRAPHY OR VIDEO TAKING

I acknowledge that photos and videos may be taken during the event for marketing activities and social media.

By selecting the following checkbox, I am indicating that I have read the above document, I understand it completely, and I agree to the policies, waiver, and release outlined above. This serves as my electronic signature.

Student Application Form 學生登記表

Group Program Details 課堂詳情

Total 10 weeks per session. No classes during October 6 - 12 and October 27 - Nov 2. *** Please note that we will be offering weekly PGA Junior Fall Golf Camps from September 29 - October 31 from Wednesdays to Fridays in Hong Kong and China.

Parent / Guardian's Contact Information

Payment