2018 Spring Registration for The Grand Strand

Attention Parents: All "Required Fields" (marked with a red asterisk) must be filled out before you can go to the payment step of the program registration process!
Participant First Name:*
Participant Last Name:*
Participant Date of Birth:*
RadDatePicker
RadDatePicker
Open the calendar popup.
Participant Age as of February 1st, 2018 :*
Participant Ethnicity:*
select
Participant Gender:*
select
Location/Day of Week of Class :*
select
Please List Participant Health Limitations:*
Parent/Guardian First Name:*
Parent/Guardian Last Name:*
E-Mail:*
Cell Phone:*
Address:*
City:*
State:*
select
Zip Code:*
Emergency Contact Full Name:*
Emergency Contact Phone Number:*
Medical Release (YES):
Participation Risk Acknowledgement (YES):
Media & PR Release (YES):
Parent/Legal Guardian Initials:*
Payment Amount:* 
* REQUIRED FIELDS

MEDICAL RELEASE - (YES answer required above to participate in The First Tee Programs & Activities)  In the event that I cannot be reached in an emergency, I agree to accept any and all determinations of need for medical assistance and/or administration of medical attention deemed necessary by The First Tee chapter representatives.  I hereby give permission to the medical personnel selected by The First Tee Chapter Representatives to secure any and all medical, hospitalization, dental and/or surgical treatment.  In the event that such medical attention is needed from a healthcare provider, all costs shall be the responsibility of the parent or guardian. 

PARTICIPATION RISK ACKNOWLEDGEMENT - (YES answer required above to participate in The First Tee Programs & Activities)  I, the parent / legal guardian of the above named youth, give approval for participation in The First Tee sponsored activities.  I assume all risks of injury whatsoever and agree to hold harmless The First Tee Chapter and Headquarters Office from claim(s) arising from any activity, including transportation, connected with The First Tee facility or program.  This hold harmless agreement includes, but is not limited to, any claim due to proximate injury resulting from negligence of The First Tee Chapter or Headquarters Office, its employees, agents, LPGA and PGA professionals, participating agencies, and volunteers.  I consent to The First Tee Chapter and Headquarters Office communicating information regarding my child's participation via the internet.  

MEDIA & PR RELEASE - (Optional YES answer requested above) I hereby give The First Tee Chapter, Headquarters Office, and participating agencies permission to use film, video tape, and/or photographs of the above mentioned minor for lawful promotional or informational purposes.  

You will need to enter your credit card or debit card information in the next step to complete the registration process.