2018 Life Skills Experience Application
The mission of The First Tee of West Michigan is to impact the lives of young people by providing educational programs that build character, instill life-enhancing values and promote healthy choices through the game of golf.

The Life Skills Experience is $70 for one six-class session. If your child is on free or reduced price lunch at school, it is just $5 total for the six-class session.

Have you participated with us before? *
Is your child eligible for free/reduced price lunch at school? *
(those on free/reduced price lunch are eligible for a scholarship)
Use the codes below to select your class
Please register my child for the following class *
Golfer LAST Name *
Your answer
Golfer FIRST Name *
Your answer
Parent/Guardian LAST Name *
Your answer
Parent/Guardian FIRST Name *
Your answer
Cell Phone # *
All weather cancellations will come only through our text-based system, and will arrive at least 1 hour prior to class.
Your answer
Secondary Phone #
Your answer
Primary Email *
Your answer
Secondary Email
Your answer
Participant Birth Date *
Your answer
Age *
Your answer
Grade *
Your answer
Gender *
Ethnicity *
School *
Your answer
This participant lives with his/her.... *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Household Income (For Grant & Scholarship Purposes ONLY) *
Health/Emergency Contact Person *
Your answer
Relationship to child *
Your answer
Cell Phone of Health/Emergency Contact *
Your answer
Alternate Phone for Health/Emergency Contact
Your answer
In the event that I cannot be reached in an emergency, I agree to accept any and all determinations of need for medical assistance and/or administration of medical attention deemed necessary by The First Tee of West Michigan representatives. I hereby give permission to the medical personnel selected by The First Tee of West Michigan to secure any and all advised hospitalization, medical, and/or surgical treatment. *
(PLEASE WRITE INITIALS)
Your answer
Media Release: Participants in The First Tee programs may be photographed or videotaped and such photos or videos may be used to lawfully publicize First Tee programs. Participants may be quoted or photographed for newspaper of magazine articles, promotional brochures, public service announcements or television programs. *
(PLEASE WRITE INITIALS)
Your answer
WAIVER: I/we, the parents/legal guardians of the above named youth, give approval for participation in The First Tee of West Michigan. I/we assume all risks of injury, missing child, or child abduction whatsoever and agree to hold harmless The First Tee National and The First Tee of West Michigan, and their agents and employees, from claims of any nature arising from any activity, including but not limited to transportation, connected with The First Tee of West Michigan program. To the extent permitted by 2011 PA 61, I/we release The First Tee National, The First Tee of West Michigan, board members, sponsors, organizers, coaches, assistants, and volunteers from liability for economic or noneconomic damages for personal injury, missing child, child abduction or death sustained by the above -named youth which results solely from the inherent risks of the recreational activities for which this application is being completed. *
(PLEASE WRITE INITIALS)
Your answer
Participation fee is $70 for one six-class session! All students eligible for free or reduced price school lunch receive programming for $5 per session. Would you be willing to scholarship a participant in need of financial assistance for $70? (donation tax-deductible) *
Would you like to get our membership?
The membership cost $150 and covers all six class sessions throughout the year and our winter Homework & Hitting program (April 2018 - March 2019). Membership discounts are available for siblings.
Payment Options (Payment is required before first class begins) *
Participants pay $70 for ONE full six-class session. If your child is eligible for free/reduced price lunch, it costs just $5. Discounts are available for 2nd and 3rd children in the same family.
Would you like to volunteer with The First Tee? *
We are a non-profit, 501(c)3 organization, and rely on volunteers for support. (Our parents are not allowed to volunteer with their child's own class, but are welcome to help in other classes or other volunteering opportunities).
Is there anything else we should know about your child?
(allergies, learning disabilities, etc.)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The First Tee of West Michigan. Report Abuse - Terms of Service