Junior Golf Camp Sign Up Step 1 of 4 25% Child's Name:(Required) First Last Age:Guardian's Name:(Required) First Last Emergency Contact #:(Required)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 Dominant Hand(Required) RH LH Volunteers:Requesting anyone with golf experience to help instruct these young golfers. Provide your email and phone number below. We will contact you. Thank you in advance.Name First Last Email Phone 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 be our awards ceremony day at the end of camp. AWARDS CEREMONY CAN RUN LATE ON THURSDAY. PLEASE BE PREPARED SO YOUR CHILD MAY STAY FOR THE AWARDS. Free beverages will be provided 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 minor for lawful promotional or information purposes. Parent/Guardian Initial:(Required) Please read:I, the parent/legal guardian of the 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 from 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 from 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.Parent/Guardian Name:(Required) Date(Required) MM slash DD slash YYYY Camp Dates Camp 1: June 24-27th / 8:30 to 11:30 am / each day Camp 2: July 22-25th / 8:30 to 11:30 am / each day Double Camp Package: Both camps included 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card 3044929265