Appointments 1 — Siasconset Golf

Junior Golf League Registration

The Junior Golf League at Sconset Golf Course includes on-course play and practice. Participants must attend one clinic at Miacomet Driving Range before
playing at Sconset.

$75 Per Session

Sessions will take place on Thursdays between 12:00 - 2:30 pm on the following dates:

June 29
July 13
July 20
July 27
August 3
August 10
August 17
August 24
August 31

Child's Name

First Name

Last Name

Child' Age

Does the child have their own clubs?

Yes

# of Years Playing

Parent/Caregiver Info

Parent/Caregiver Name

First Name

Last Name

Parent/Caregiver Name

First Name

Last Name

Parent/Caregiver Email

Parent/Caregiver Phone

(###)

###

####

Do you live on Nantucket year-round?

Yes

If not a year-round resident, what is your address?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Consent Waiver

Parental Consent and Waiver: In consideration of my child’s participation, by digitally signing my name below, I hereby release the Miacomet Golf Course, NGM inc., Nantucket Islands Landbank and any of their employees, instructors, agents, from any and all present and future claims resulting from its or their negligence or intentional acts and/or failures to act for property damage, personal injury, or wrongful death, arising as a result of my child engaging in or receiving instruction in Golf Camp activities. I hereby voluntarily waive any and all claims resulting from any such negligence or intentional conduct, both present and future, that may be made by my child, or family member. I certify that my child is in good health and is able to participate in physical activities. In the event of illness or injury, I grant permission for the staff to take appropriate action for my child’s health and safety and to obtain any necessary medical assistance. I will be fully responsible for all medical expenses incurred by my child while attending the Junior Golf Program.

Type your full name to confirm your agreement to this waiver.

Today's Date

YYYY

Cancellation policy: Charges will be billed each week within 7 days of the scheduled clinic date. Any cancellations must be made 7 or more days prior, via email, in order to not be charged for the previously assigned clinic. Lack of cancellation / no-shows will result in the charging of that week’s scheduled clinic.

Junior Golf League Registration

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