Golf Junior School Championship Registration Form Term 4 2019 - Year 3-6
Dates to know:
End of Term 3.

Due to safety considerations and time restraints we are limited to taking only experienced students.

One day event. Friday 18 October. Tee-off time TBC.
Venue: North Shore Golf Club. 9 Holes. Experienced students only due to safety and time constraints. If numbers are too large the group may have to be limited to Year 3-6.

Students will be expected to have access to their own clubs and balls, although clubs can be hired in special circumstances.

If you have any questions regarding this Competition, please contact Ms Judit Fliszar at the Junior School Sports Office, or

Student Details
First Name *
Your answer
Surname *
Your answer
Class e.g. 6N *
Your answer
Student School ID Number *
This is the first 5 digits of your child's Kristin School email address.
Your answer
Date of Birth *
Golf Handicap (if applicable)
Your answer
9 Hole Score
What would you normally score on a 9 hole ground round?
Your answer
How regularly do you play a round of golf?
Your answer
Participation last year
Did you participate in the Junior School Golf Championship last year?
Last Year's Results
If YES, what was your score? And placing?
Your answer
Name of Golf Club you are a member of
Your answer
Golf Membership Number (7 digit number)
Your answer
Other Assistance
Own Transport *
I can transport my child to North Shore Golf Course, after signing out with Mrs Ackroyd.
Transport required *
My child will need transport to the venue
Caddie Assistance *
I will provide a caddie for my child on the day and assist with walking a group of 4 around the course
Full name of person offering assistance
Your answer
Contact Phone
Your answer
Parent/Legal Guardian/ Fee Payer must complete this section
Please do not continue with completion of this form unless you are the parent/legal guardian/fee payer.
Name of person completing this section *
Please provide full name
Your answer
Relationship to student *
Your answer
Your answer
Date *
Competition Fees *
I understand an entry fee of $25.00 will be charged to my Kristin School account. (This does not apply to North Shore Golf Club members). P. E uniform or sports tracksuit to be worn for all competitions.
Golf Clubs
My child will require Golf Clubs to be hired from the North Shore Club, I understand that the hire fee for this will also be charged to my school account
Permissions *
I give permission for my son/daughter to play in the Junior School Golf Championship to be held at North Shore Golf Club
Special or Medical Needs *
I understand that the information for Special and/or Medical needs which is held in our database will be used for the purpose of this activity. If you wish to update this information, please contact the school at your earliest convenience.
Junior School Sports Code of Conduct
As a Kristin Sports member:
• I will always listen to my coach and follow instructions
• I will do the activity that my coach requires and strive to achieve my personal best
• I will be on time for practices and games
• I will tell my coach at least two days before practices and matches if I cannot play
• I will play fair at all times
• I will be polite and respectful towards the other team, shake hands with the opposition and respond with a kind comment
• I will use good manners with my team mates, coaches, referees/umpires, manager and supporters
• I will wear the correct Kristin sports uniform with pride
• I will not argue, but respect the referee/umpire
• I will fully commit to all games and practises for this team, as I understand that if I do not show up my team may have to default or be pulled out of the competition

Players who do not adhere to the Code of Conduct will be referred to the Sports office by the coach or manager. Continual inappropriate behaviour will result in a stand down period.

As a parent, supporter, or official I have a responsibility to my child and the sporting community to always behave in a positive supportive manner towards all personnel involved in sport, in both Kristin and opposing teams, parents and officials.

Code of Conduct Agreement *
My child and I have read the Junior School Code of Conduct printed here and will abide by it.
Acknowledgement of Risk *
I understand that there are risks associated with involvement in Gymnastics related activities and that these risks may not be able to be completely eliminated. I understand that the school has attempted to identify all the risks and hazards, which will be present during these activities and has taken steps to eliminate (where ever possible), isolate or minimise those hazards. I understand that my child will be briefed on the hazards and all correct safety procedures. I know that I am abler to ask any questions of the school to gain better understanding of the risks involved. I recognise that participation in such activities is voluntary and not mandatory. My child and I both understand that they may withdraw from the activity if I/they feel at risk. This must be done in consultation with the person in charge. I understand that the school does not accept responsibility for loss or damage to personal property and that it is my responsibility to check my own insurance policy.
Binding Agreement *
I have signed this on my own behalf and on behalf of the student as a parent or in locus parenti. By submitting, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
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