Workshop Entry Form

2007 Workshop Entry Form

Which Workshop are you signing up for? Workshop Date:_______
Future Champion (Juniors Name): Age: _
Skill Level: BEG INT ADV
Need Clubs? Y N
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: Workshops

OR TURN INTO SHOP STAFF AT STADIUM GOLF CENTER ON YOUR NEXT VISIT

The Waiver of Liability/Emergency Treatment Form 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:_______________

WWW.FUTURECHAMPIONSGOLF.COM

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