JuniorWaiver – Shelter Valley Pines Golf Club

Junior Program Waiver

Thank you for registering your junior for the Chipping for Juniors Golf Program. All participants are required to fill out the acceptance of risk and waiver of liability below. Thank you for your cooperation.

I am completing the... *

1) Signing this document will affect your legal responsibilities and liabilities. Please read carefully and understand completely before signing. I acknowledge that the sport of golf is a medium-risk activity and that I or my child is participating at my own rick and in full knowledge that there are risks associated with golfing. I further acknowledge that there is some element of risk that an accident could occur and result in injury or death. In consideration of being allowed to participate I agree for myself/my child to participate in the activity knowing that it can be dangerous. I hereby assume all risk and absolve Shelter Valley Park & Golf, Shelter Valley Pines Golf Club and any of its agents and employees from all responsibility, liability or claims of any nature and kind which may result in injury from myself or my child participating in this activity, but not limited to bodily injury or death to myself, my child and damage to property arising from any cause whatever including the negligence of one or more individuals referred to herein. In exchange for being permitted to participate in these activities, myself/my child, heirs, guardians and legal representatives, I hereby declare that in filling out this document that I have read and fully understand the terms and conditions stated herein. Furthermore, I release and agree not to bring any claim of any kind against Shelter Valley Park & Golf, Shelter Valley Pines Golf Club, its agents or employees for injury to myself, my child or my property, whether from negligence or not or any other cause arising out of my own/my child’s participation in this activity. *

Yes, I have read and agree to the terms of this contract and am aware of the risks involved with this program

2) Parent / Legal Guardian *

3) Email *

4) Cell Phone # *

5) Child's Name *

Electronic Signature (Guardians Full Name Here) *

6) Date this Contract is Completed *

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