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(585) 267-9956
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JoePro 56 Youth Golf Clinic and Tournament Registration

Camper's parent/guardian MUST accompany camper to registration.

T-Shirt Size (circle one)

Medical Conditions

GENERAL RELEASES AND LEGAL INFORMATION 1. Photo Release: (*) I, personally and on behalf of any of my children, give my permission to use my and/or my child's name, photographs, videos, quotations, and likeness in any advertisements or promotions performed in connection with the JoePro 56 Camp or other affiliated events, and agree that neither I nor my child shall be entitled to any compensation for such use. 2. General Release and Waiver GENERAL RELEASE & WAIVER - For good and valuable consideration, the sufficiency of which 1 hereby acknowledge, I, personally and on behalf of my son/daughter and as the parent and/ or legal guardian and anyone acting on my behalf, including but not limited to attorneys, representatives, agents, heirs, executors, administrators, assigns, insurers, predecessors, successors or any other person or entity asserting claims through me, agree to release, indemnify, defend and hold harmless: JoePro 56 Camp(collectively, "Releases"), from and against any and all claims, suits, losses, damages, expenses, costs, and liabilities (including reasonable attorneys' fees and expenses), which hereinafter may accrue or arise against the Releases & which in any way arise out of or are in any way related to my child's participation in the JoePro 56 Camp event (collectively, "the Camps"). The law requires that parental permission be obtained for operative procedures on minors. I hereby give permission to JoePro 56 Camp., to obtain medical services for my child in the case of a medical emergency or injury. However, no operation will be performed without the parents being fully informed. I hereby grant JoePro 56 Camp., Joseph Bock has full power to act on my behalf to give consent for medical, surgical, diagnostic, therapeutic, or other physical or mental healthcare procedures or treatment for my child/ward as may be reasonably necessary. I understand and agree that I am responsible for all charges incurred. I, PERSONALLY & ON BEHALF OF MY CHILD, ASSUME ANY & ALL RISK THAT IS IN ANY WAY ASSOCIATED WITH, RELATED TO, OR OCCURS AS A RESULT OF MY CHILD'S PARTICIPATION IN THE CAMPS.

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585-267-9956