Sign Up Page

Student's Name:
Age on July 1st:
Parent or Guardian:
Street Address:
City/Town:
Postal Code:
Home Phone:
Parent's Work Phone:
E-mail Address: (optional)
Male or Female?:
Years Playing Golf:
I wish to register my son / daughter in camp number:
First Choice (Camp#):
Second Choice (Camp#):
Third Choice (Camp#):
I, the parent or legal guardian for the junior golfer named above hereby release Peter Boyce Golf from any and all liability for any event or consequence whatsoever in any way arising out of or relating to the above junior golfer's participation in Peter Boyce Golf Academy's Junior Golf Day Camps. I realize that safety precautions have been taken and that the nature of group golf instruction has some inherent danger of injury. I authorize a qualified medical doctor to take all necessary measures in the treatment of the above-named day camp participant. I have made note below in regard to any special medical condition or allergies that you should be aware of. A PARENT / GUARDIAN SIGNATURE IS STILL REQUIRED PRIOR TO STARTING CAMP.