Address_____________________

Telephone # _______________   e-mail________________

 

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Please READ the following before signing at bottom of this page:

By my signature and of my free will I do hereby agree to indemnify and save harmless The Course At River Oaks from any all and claims or demands, cost or expense arising out of any injuries, damages or the losses, whether personal or property, sustained by child arising out of said program.  Any photographs/videos taken by The Course At River Oaks staff are considered property of The Course At River Oaks and may be used in newsletters, brochures, and newspapers.  I give my permission for use of these photographs for media use.  By my signature, I have been given information to read with regard to The Junior Golf Program Agenda.

 

______________________________                        __________________________

Signature of Participant                                             Date of signature

______________________________                        ___________________________

Signature of Parent or Guardian                               Date of signature

 

Mail to: The Course at River Oaks, 1 Golf Course Dr., Searcy, AR 72143 

Make a copy of completed form for your information.