Golf Program Registration


Program: Adult Beginner
Class ID: SU18AL2
Class Starting Date: Aug 7, 2018
Class Time: 5:30-7:00

Information

Name:
Address:
City:
State:
Zip:
Phone - Day:
Phone - Evening:
Email:


Emergency Contact

Name:
Phone number:
Relationship:

Golf Club Option

I will bring my own clubs
I will need to use Button Hole clubs
Approximate height:

Payment Method

Credit Card

Billing Address
Name:
Address:
City:
State:
Zip:
Enter credit card information on next step.


Gift Certificate:
Number:


Release

I hereby give my approval for my participation in any and all activities at Button Hole. I assume all risks and hazards incidental to such participation, including transportation to and from activities and do hereby waive, release, absolve, indemnify, and agree to hold blameless all individuals for the conduct or activity involving me. I am aware that by signing this form I give permission for Button Hole Golf Course to use photos of me for the purposes of nonprofit for Button Hole Golf Course.

I grant the Golf Foundation of Rhode Island/Button Hole Golf Course and Teaching Center the right to video tape, film, and photograph me and the right, in perpetuity, to use my name, likeness, biographical information and voice in all forms of media (including the Internet) in connection with the advertising and promotion of Button Hole Golf Course and Teaching Center.

I agree




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