US KIDS GOLF –9 HOLE PROMO EVENTREGISTRATION FORM

TOURNAMENT: 9 Hole Promo – The Vines Club of Reynella
LOCATION: 1 Pine Road, WOODCROFT SA 5162
DATE:22nd January 2015 COMMENCING AT: 0900am
Tournament Rules
PLAYER'S NAME:*
First Last
Gender*
- M
- F
ADDRESS*
Street Address City State Zip Code Country
EMAIL*
AGE:*
DOB*
CONTACT DETAILS ON THE DAY
PERSON*
PHONE*
Has the player attended any Cammeray Golf Lessons?*
- Yes
- No
When?
What did they do?
Does the child 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)
Will a parent or guardian be with the child at the tournament?*
- Yes
- No
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
The Vines 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

$40.00

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