HIGHLIGHT EVERYTHING BELOW THE LINE, SELECT PRINT, CHOOSE SELECTION, THEN PRINT.

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2008 CAMP Registration (MAIL IN FORM)

CHOOSE A PROGRAM:

MLK DAY GOLF CAMP: $49 for Members/ $69 for Non-Members

RICK'S RIDICULOUSLY FUN CAMPS: Enter the Date of the Camp Here:__________________________
$49 for Members/ $69 for Non-Members

Junior’s Name: ______________________
Age: _____

Skill Level:  BEG   INT   ADV
Parents Name: ____________________________
Street Address: ____________________________
City: _______________________________  Zip:_________
Phone #Home:______________Mobile:__________________
Email: ________________________________________
Form of Payment:  Check   Visa   M/C   Amex   Disc   Card#__________________________Exp_____

Return completed form with checks made payable to:
Future Champions Golf:
6151 Calle Mariselda #308 San Diego, CA 92124
Attn:  Golf Camps

The Waiver of Liability must be completed in order for your child to participate .

  Waiver of Liability  
I agree that the above child's participation in the Future Champions Golf  Junior Program and the activities at Stadium Golf Center or elsewhere is without assumption of liability of any nature by Stadium Golf Center, its Officers, Directors, Employees and Staff or other Volunteer Instructors, any golf course or driving range or any other facility where the program activities are conducted. I do hereby release and discharge the above mentioned individuals and entities from any and all claims my child may suffer or sustain, directly or indirectly, in connection with any such participation and activities.
Parent/Guardian Signature:______________________________Date:_______
Name of Emergency Contact:________________________
Numbers in case of emergency:_____ __________________

ALL CAMP DATES AND TIMES ARE SUBJECT TO CHANGE AT ANY TIME.  IF YOU HAVE ANY QUESTIONS PLEASE CONTACT
CHRIS SMEAL AT 619-339-2377.