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NEPA Junior Golf
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Girls - Monday 8:30-10:00 Register Now!
Girls - Monday 10:15-11:45 Register Now!
Boys - Thursday 8:30-10:00 Register Now!
Boys - Thursday 10:15-11:45 Register Now!
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You are about to register for:
Wednesday--Travel Team
9:00 am - 12:00 pm
Grades 7 and up
Registration is Open from
April 15-May 31, 2024
REGISTRATION PROCEDURES
Step 1:
For liability purposes, all members (boys and girls) must register at:
LPGA Girls Golf
(<click to follow link)
Registration is free. Do
not
continue until this is complete.
Step 2:
Complete the registration below. Be sure this is the correct location and time before you register.
Registration will be limited to 45 participants.
Step 3:
Payment will be made online at the end of your registration. Please choose the correct registration amount based on rental or non-rental registration.
Non Rental Registration--$100.00
Rental Registration--$135.00
Participant Information
(A separate form must be completed for each child.)
*
Indicates required field
Did you register on the LPGA Girls Golf Site?
*
(Choose One)
No. DO NOT proceed until you register. Follow the link above.
Yes. Proceed with your registration
Do not proceed unless you have registered at the LPGA Girls Golf Website.
Name
*
First
Last
Date of Birth (mm-dd-yyyy)
*
Gender
*
(Choose One)
Female
Male
School District
*
Grade
*
(Choose 1)
7
8
9
10
11
12
Grade entering in the fall.
Select Location and Time
*
<Select One>
Travel Team--9:00-12:00
Parent/Guardian Name
*
Contact Email Address
*
Email will be used to notify participants of cancellations and changes to schedule,
Phone Number 1
*
Phone Number 2
*
Will the participant attend the Rules of Golf Clinic on May 7 ?
*
Yes
No
Medical Conditions or Allergies
*
None
Yes (Explain below)
If you answered yes to Medical Conditions or Allergies please explain here:
*
Does the participant own golf clubs?
*
(Choose One)
Yes
No. I need to rent golf clubs. $20.00 deposit + $15.00 charge for the summer.
If your child does
not
have clubs complete this section:
Right or Left Handed?
*
(Choose One)
Right handed
Left handed
Height
*
Consent and Release—Parent or Guardian MUST sign in space indicated below for application to be considered.
I the parent/guardian of the participant named above am familiar with the plans and purposes of NEPA Junior Golf and give full permission for my child/ward to attend events and to participate in all phases of NEPA Junior Golf activities. I understand that by signing this consent and release form below, I agree to waive and release any rights and claims for damages against, and hold harmless NEPA Junior Golf and each of their respective officers, directors, employees, volunteers, workers, members and agencies from and against any and all injuries or damages which may result from or arise out of my child’s/ward’s participation in NEPA Junior Golf events and activities.
Photos and Press Release
I give permissions for my son/daughter/ward to be in picures and videos of our clinics and for it to appear on NEPA Junior Golf Facebook page and/or website.
Choose Any
*
Check box if you agree to all information provided in this form.
Digital Signature
*
Pay Now!
Terry Wise, Site Director
terry.wise825
@gmail.com
TRAVEL TEAM
DATES
June 8--Club Rental Pick Up
(For participants that need to rent or purchase clubs-- Lakeland Golf Course from 10 am - Noon.)
Travel Team
Locations
Wemberly Hills
Lakeland
Homestead
Rock Creek
Homestead Golf Course
75 Fallbrook Street
Carbondale, PA 18407
Telephone: (570) 282-5197
Wemberly Hills
66 Club House Ln
Olyphant, PA 18447
Telephone: (570) 563-1902
http://wemberlyhills.com/
Rock Creek Golf Course
2783 PA-374
Nicholson, PA 18446
Telephone: (570) 222-2500
Lakeland Golf Club
Route 107
Fleetville, PA 18420
(570) 945-9983
http://lakelandgolfclub.weebly.com
Sleepy Hollow Golf Course
75 Fallbrook Street
Carbondale, PA 18407
Telephone: (570) 282-5197