3 SPORTS, 1 CAMP REGISTRATION FORM

PLEASE NOTE: Once you select and complete the registration form, you will be prompted to download a waiver. Please print and sign this waiver and bring it with you on the first day of camp. Payment will be taken at the Golf Pro Shop on the first day of camp.

You can also download the waiver here.

Thank you and we look forward to camp with your kids at The Yards this Summer!

*Sibling discount: First registration is full price, each sibling registered after is discounted.

Select Camp Date

June 12th-14th

Child's Name

First Name

Last Name

Birthday

Grade Level

Parent/Guardian 1 Name:

Parent/Guardian 1 Email:

Parent/Guardian 1 Phone:

(###)

###

####

Parent/Guardian 2 Name:

Parent/Guardian 2 Email:

Parent/Guardian 2 Phone:

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a Yards Member?

Yes

No

Authorized pick-up person(s) other than parent/guardian listed above

Name & Phone #

Food Allergies

Medical conditions that we should know about (asthma, etc.)

Medical devices that your child will be bringing?

Epi Pen

Inhaler

Medication

Other

None

If you selected Medication or Other Above, please explain