Kids/Juniors Golf Application - Loyal Oak Golf Course 330-825-2904 330-825-9815

2022 Junior Golf Program begins Tuesday, June 7th for seven weeks until July 19th, 2022. The cost is $175 per child, please send payment to Loyal Oak with copy of your application. The first 40 players signed up will be accepted.

Email *

Golfers Name *

First

Last

Phone *

Age *

Grade *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Have Clubs? *

Please Choose: *

Tuesday Noon to 3:00
Advanced 10:00- 1:00

Experience? *

Medical Issues: *

Parent or Guardians Name *

First

Last

Phone *

Disclaimer: I am aware of the risks, hazards, and inherent dangers that may arise due to my child's participation in the 2022 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

Please type your name for an E-Signature *