PARENT/CHILD REGISTRATION FORM

TOURNAMENT: Parent/Child Event - Nine Hole Event
LOCATION: Emerald Lakes Golf Club – Brisbane QLD
DATE:13th December 2015 COMMENCING AT: 1400
Tournament Rules
PARENTS NAME:*
First Last
CHILDS NAME:*
First Last
ADDRESS*
Street Address City State Zip Code Country
EMAIL*
CHILDS AGE:*
DOB*
PARENT’S GOLF HANDICAP:
CONTACT DETAILS ON THE DAY
PERSON*
PHONE*
Has the player attended any Emerald Lakes Golf Lessons?*
- Yes
- No
When?
What did they do?
Does the child or parent suffer from dietary needs, allergies, medical needs or conditions? If so what?
Does the child wish to play with another specific child? If so, who;

(Note pairings can only be of kids the same age and gender)
I give permission to US Kids Golf to use images of my child at the Tournament to appear on the US Kids Golf website and/or social media.*
- Yes
- No
Emerald Lakes Golf Club and/or US Kids Golf Australia Pty Ltd accept no responsibility for any situation or injury arising from the tournament.
Name*
Date*
DD slash MM slash YYYY
PAYMENT DETAILS

$75.00 per Team (Parent/Child)

We will get in touch with you to discuss your payment.