2024 Junior Golf Application Form
Humber Valley Resort

Wayne Allen - PGA Golf Professional: 709-639-3741 or wayneallenpga@gmail.com

**ONE FORM PER CHILD
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Please complete a separate registration form for each junior. Money will not be refunded for missed days and missed days are not guaranteed to be made up. Programs will take place rain or shine unless unsafe. If a junior has to cancel after registration has taken place and prior to the program starting a cancellation fee will apply. In the result of injury or accident sustained to my junior, I release all liability to Humber Valley Resort, its staff & any others helping out with the junior programs. I know that golf is a high speed sport. Any injury or damage, caused by my junior to other golfers, staff or property, or to my junior, is my responsibility. In case of injury or accident, if I am not able to be contacted, I give permission to Humber Valley Resort or its staff to obtain proper medical attention during my absence. Humber Valley Resort will not be responsible for the loss of any personal property, however caused.

Humber Valley Resort has the right to take & use golf photos to endorse any & all golf programs as they see fit in any form of print, web or other media to promote junior golf. I have read, understand and agree to the terms and conditions set out above. This form must be signed/checked in order to complete registration.


SCHEDULE:

5 - 9 years Tuesdays & Thursdays 12.45pm -1.45pm ($250)
(June 25th, 27th, July 2nd, 4th, 9th, 11th, 23rd, 25th, 30th, Aug 1st, 6th, 8th 2024


5 - 9 years Tuesdays & Thursdays 2pm - 3pm ($250)
(June 25th, 27th, July 2nd, 4th, 9th, 11th, 23rd, 25th, 30th, Aug 1st, 6th, 8th 2024


10 - 14 years Tuesdays & Thursdays 3.15pm - 4.15pm ($250)

(June 25th, 27th, July 2nd, 4th, 9th, 11th, 23rd, 25th, 30th, Aug 1st, 6th, 8th 2024


Learn To Play - Competition Program ($450)

June 24th - 5.30 - 7pm, June 29th - 9 - 10.30am, July 6th - 9 - 10.30am, July 8th - 5.30 - 7pm, July 13th - 9 - 10.30am, July 22nd - 5.30 - pm, July 27th - 9 - 10.30am, July 29th - 5.30 - 7pm,

*
Required
Group Allocations
PROGRAM OPTIONS:
(please refer to the above group allocations to select group)
*
Required
Payment Option... *
Email Address *
Childs Name: *
Parents Name: *
Address: *
Contact Phone Number: *
Work Phone Number (if applicable): 
Date of Birth of Child: *
Age: *
MCP Number: *
Special Instructions
This includes any allergies, special needs, or any other information we should know
Parent/Guardian's Signature (please type name): *
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