Junior Golf Clinic Consent Form
Participant Information
Junior’s Full Name
Date of Birth
Gender
Male
Female
Other
Parent/Guardian Name
Phone Number
Email Address
Emergency Contact Name
Emergency Contact Phone
Medical Information
Allergies/Medical Conditions
Medications
Family Doctor
Doctor’s Phone
Consent
I hereby consent to my child’s participation in the Junior Golf Clinic and release organizers from any liability.
I authorize medical treatment in case of emergency if I cannot be reached.
I give permission for my child's photograph to be taken and used for promotional purposes.
Parent/Guardian Signature
Date