The  LPGA Junior Golf Clinic at the 2012 CME Group Titleholders
Thank you for your interest in the 2012 LPGA Tour Junior Golf Clinic at the CME Group Titleholders!

Please complete the form below to register your child for the upcoming event.
LPGA Junior Golf Extravaganza at the CME Group Titleholders
Boys & Girls 7-17 years old of all skill levels are welcome
KIDS IN FREE: All juniors ages 17 and under will receive complimentary access to the tournament grounds.

Saturday, November 17th
2:00pm-3:30pm
The TwinEagles Club
Naples, FL

REGISTRATION DEADLINE: MONDAY, NOVEMBER 12, 2012.
Golf equipment will be provided. Please wear golf shoes or sneakers.

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The 2012 LPGA Junior Golf Clinic is being hosted by LPGA-USGA Girls Golf, the LPGA's flagship junior golf program aimed at providing girls ages 7 - 17 with an opportunity to learn to play golf, build lasting friendships and experience competition in a fun, supportive environment, preparing them for a lifetime of enjoyment with the game. Girls are learning values inherent to the game of golf, such as practice, respect, perseverance, and honesty, preparing them to meet the challenges of today's world with confidence. Questions? Contact Ashleigh Anderson at ashleigh.anderson@lpga.com.
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Participant's First Name: *
Participant's Last Name: *
Participant's Age: *
Gender: *
Hometown (City, State): *
Home Phone: *
Email Address: *
Parent/Guardiane Name: *
Golf Ability Level

        Level I: New Golfer - Very little or no on-course experience.

        Level 2: Able to play 125 yards from the green.

        Level 3: Averages between 65-75 for nine holes on a regulation course.

        Level 4: Averages between 55-64 for nine holes on a regulation course.

        Level 5: Plays 18 holes with a score of 110 or better on a regulation course.

        Level 6: Plays 18 holes with a score of 95 or better on a regulation course.
Golfing Experience: *
Select One
Activity Schedule
LPGA Junior Golf Day Event Schedule

Where's Morgan? Scavenger Hunt
11:00 am - 2:30 pm, LPGA-USGA Girls Golf Expo Booth

LPGA Junior Golf Clinic Presented by RR Donnelley
2:00 pm - 3:30 pm, TwinEagles Driving Range

Please select the activities that your child will be participating in: * *
Select One or More
Required
Person(s) other than parent, who may pick up the participant at the end of any LPGA Junior Golf Clinics event
Please provide the name of the chaperone who will be accompanying the registered junior.
Name:
Relationship to Participant:
Email Address:
Consent and Release
Parent/Guardian Statement I, the parent (or guardian) of the participant named above, am familiar with the plans and purposes of LPGA Tour Junior Clinics and give full permission for my son/daughter/ward to attend events and to participate in all phases of activities. I understand that, by signing this Consent & Release Form below, I agree to waive and release any rights and claims for damages against, and hold harmless LPGA. The LPGA Foundation, the USGA, LPGA Teaching and Club Professionals, The TwinEagles Club, and all sponsors and other parties affiliated with the clinic or the CME Group Titleholders and each of their respective officers, directors, employees, volunteers, workers, members and agents ("Releases"), from and against any and all injuries or damages which may result from or arise out of my son's/daughter's/ward's participation in events and activities. Medical Emergency Statement I, the parent (or guardian) of the participant, (i) give my permission for my son/daughter/ward to receive emergency medical treatment; and (ii) agree to indemnify, waive, release, covenant not to sue, and forever discharge Releases for any and all liability or claims arising out of such treatment.

Agree: *
Required
Photo and Press Release
I, being Parent/Guardian of the participant, hereby consent that any photographs and/or motion pictures or videotape in which he/she appears, and any audio recordings made of his/her voice may be used by LPGA Tour Junior Golf Clinics, its assigns or successors, in whatever way they desire, including television and electronic media; furthermore, I hereby consent that such photographs, films, and recordings, and the plates and/or tapes, from which they are made shall be their property, and they shall have the right to sell, duplication, reproduce, and make other uses of such photographs, films, recordings, plates, and tapes as they desire free and clear or any claim whatsoever on my part
Agree: *
Required
Parent/Guardian Signature
In Witness Whereof, I have read and understand this Participation Registration Form, agree to sign it willingly in my capacity as parent/guardian, and accept its terms and conditions.
Digital Signature: *
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