Junior Golf Camp Sign Up Child's Name:(Required) First Last Age:Guardian's Name:(Required) First Last Emergency Contact #:(Required)Guardian Email: List any medical problems the child has:(Required) Food Allergy?(Required) Yes No If yes, please explain: Does participant already have their own clubs?(Required) Yes No Camp Dates July 26th–29th/8:30am-11:30am each day / $150 Total: Billing Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card:Card Details Cardholder Name Important Details:Camps will be held from 8:30am-11:30am each day. Thursday will be our skills challenge day with lots of fun and prizes.Each day, juniors will learn basic golf fundamentals while playing fun games and learning First Tee core values. Parents are encouraged to attend all days but, especially Thursday, as it will beour awards ceremony day at the end of camp.AWARDS CEREMONY CAN RUN LATE ON THURSDAY. PLEASE BE PREPARED SO YOUR CHILD MAY STAY FOR THEAWARDS.Free beverages will be proved all week. Junior golfer does not need own golf clubs to participate but child will be properly fitted into U.S Kids Golf clubs that week. Child owning a fitted set of clubs will be a great benefit in camp! Discounts on all U.S Kids golf clubs will be given to each participant. Golf shirts/T-Shirts, shorts, and tennis/golf shoes recommended. Media Release:I hereby give Community Service Inc, Arkansas Golf Center, and The First Tee permission to use film, videotape, and/or photographs of the aforementioned minor for lawful promotional or information purposes. Parent/Guardian Initial:(Required) Please read:I, the parent/legal guardian of the aforementioned youth; give approval for participation in the Community Service Youth Foundation’s First Tee activities and Arkansas Golf Center. I assume all risks of injury whatsoever and agree to hold harmless Community Service Inc, Arkansas Golf Center, and The First Tee from any claim(s) of any nature arising form any activity, including transportation, connected with The First Tee facility or program. This hold harmless agreement includes but is not limited to any claim due to injury proximately resulting form negligence of Community Service Inc, Arkansas Golf Center, and The First Tee Chapter, its employees, agents, LPGA and PGA professionals participating agencies, and volunteers. I consent to Community Service Inc, The First Tee Chapter, and Arkansas Golf Center office communicating information regarding my child’s participation via the Internet. Parent/Guardian Consent(Required) I agree to let my child participate.