Holbrook CC Junior Golf Registration
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Email *
Child's first name *
Child's last name
Street Address *
Town *
This is the Holbrook Country Club Junior Golf Program Release and Waiver.  Any program of physical activity will involve a certain amount of strenuous exercise and personal risk. In consideration of the content of the Holbrook Country Club Junior Golf Program, as the parent/guardian of the above-named child, I understand and assume all risk of injury or damage to personal property whatever occurring, and however, long said physical activity and program may continue. Furthermore, by submitting this form I agree to release and hold harmless the Holbrook Country Club Junior Golf Program and Holbrook Country Club Golf Course, it’s officers, agents, or employees from any and all claims and demands or liabilities for any injury to my child, including death; or to my property in any way arising out of incidental activity, except such injuries or damage caused solely by the gross negligence or with willful misconduct, of officers, agents, or employees of the facility. *
Parent/Guardian Name *
Parent/Guardian Cell Phone/Text Number *
Junior Golfer Cell Phone
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