Junior Golf Program - with-signup-form

Please Complete All of the Fields in the Application

Golfer's First & Last Name

Phone

Age

Grade

Address

Have Clubs?

Have Experience?

Medical Issues

Parent or Guardian Name

Contact Phone

Disclaimer: I am aware of the risks, hazards, and inherent dangers that may arise due to my child's participation in the 2026 Junior Golf League being held and Loyal Oak Golf Course. In consideration for being allowed to participate in said activity, I hereby release, waive, discharge Loyal Oak Golf Course, its instructors, agents and employees from every claim, liability or demand of any kind sustained, whether caused by negligence of Loyal Oak Golf Course or otherwise. In the event of illness or injury resulting or arising directly or indirectly out of said activity, I herby give my consent and authorization for the (1) administration of emergency first aid care and treatment at the scene of an emergency by staff or volunteers of Loyal Oak or (2) the administration of treatment deemed necessary by a licensed physician or dentist and (3) the transfer to any hospital reasonably accessible. This authorization is not intended to cover major surgery unless the medical opinions of two licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery. I further declare and warrant that I am covered by sufficient medical and dental insurance and that such insurance will remain in effect during my child's participation in said activity.

Agree Do Not Agree

Please Type Your Name for an E-Signature

(330) 825-2904

Please Complete All of the Fields in the Application