PGA Junior Fall Term Group Lessons

學生英文名字 Student's Name (English)*

First NameLast Name

學生中文名字 Chinese Name

證書全名 Name on Certificate*

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

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

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

出生日期 Date of Birth*

Date

Age

性別 Gender*

身高 Height (cm)*

學生香港身分証 Student's HK ID

學校 School*

打球經驗 Golf Experience*

Where did the student previously play golf?

Where did the student previously take golf lessons?

Are you an existing PGA Junior student at PGA Development Center - Waterfall?

YesNo

左撇還是右撇 Left- or Right-Handed?*

需要球桿嗎 Clubs required?*

高爾夫球差點 Handicap, if any

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.*

每星期想報名多少節課？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) for multiple sessions per week.*

Any comments you wish to include?

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.

學生登記表 Student Application Form

課堂詳情 Group Program Details

TUESDAYS - Tuesday classes are from Sept 3 to Nov 26 with no classes on Oct 1, 8 & 22 (due to public and/or school holidays). 1 Toptracer premium bay voucher (valued up to HK$220) for multi-day registrations of more than 1 session/week.

WEDNESDAYS - Wednesday classes are from Sept 4 to Nov 27 with no classes on Sept 18, Oct 9, Oct 23 (due to public and/or school holidays). 1 Toptracer premium bay voucher (valued up to HK$220) for multi-day registrations of more than 1 session/week.

Parent / Guardian's Contact

Payment