2019 HSJGA New Golfer Membership
First Name *
Junior
Your answer
Last Name *
Junior
Your answer
Birthdate *
i.e. 12-25-2002
Your answer
Gender *
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Year of High School Graduation *
i.e. 2019
Your answer
School *
Your answer
Parent or Guardian Name *
First and Last
Your answer
Primary Email *
Your answer
Phone *
Best # to reach you
Your answer
I have golf clubs to use. *
I am a beginner *
Did you ever attend Hawaii Junior Golf Day? If yes, please indicate the years. *
Your answer
How did you hear about the HSJGA? *
Your answer
Liability Disclaimer *
I, as the parent or legal guardian, for the participating junior and me, hereby release the Host Facilities, the Hawaii State Junior Golf Association (HSJGA), its officers, directors and employees from any and all liability for any event or consequences whatsoever in any way arising out of or relating to junior's participation in any HSJGA event or activity with the sole and singular exception of liability arising out of bad faith or willful misconduct. In case of emergency during an HSJGA/ASPGA event, I authorize a qualified physician to take necessary measures in the treatment of the HSJGA/ASPGA participant. It is understood that neither the Host Facility nor the HSJGA/ASPGA is responsible for any lost or stolen items. Permission is hereby granted to use the members name and/or photo for promotional purposes. By checking the box below, I agree to the waiver.
Submit
Never submit passwords through Google Forms.
This form was created inside of Hawaii State Junior Golf Association. Report Abuse - Terms of Service