8th ANNUAL RIVER CUP FOUNDATION
YOUTH GOLF CLINIC
WHEN: SATURDAY, MAY 15, 2010 9AM – 12:30PM Check-in by 8:30 AM
WHERE: PEORIA PARK DISTRICT GOLF LEARNING CENTER & ACADEMY
RADNOR ROAD BY KELLOGG GOLF COURSE
WHO: OPEN TO ALL TRI-COUNTY BOYS & GIRLS AGES 8 - 14.
YOU MUST COMPLETE & RETURN THE APPLICATION BELOW.
WE ARE LIMITED TO THE FIRST 72 GOLFERS. LUNCH WILL BE SERVED.
THE RIVERCUP FOUNDATION, ILLINI GOLF AND THE PEORIA PARK DISTRICT ARE SPONSORING THIS DAY AT NO CHARGE FOR THE KIDS.
COME & LEARN FROM THE AREA’S BEST GOLFERS.
Questions call Matt Fahel at 691-0285 – Deadline Monday, May 10, 2010.
Consider your child in, unless you here from us. Save the above info – return below info!
NAME: AGE:
ADDRESS: CITY: ZIP:
PHONE # EMAIL ADDRESS:
EXPERIENCE – TELL US ABOUT YOUR GOLF GAME:
_____ I have never touched a club _____ I have hit balls but never played
_____ I have played a few times _____ I play in tournaments
_____ I win tournaments
The undersigned, for his or her heirs, assigns and legal representatives, releases, discharges and holds harmless the RiverCup Foundation, Illini Golf, Peoria Park District and all staff, invitees, agents and representatives from any and all liability for any events or consequences whatsoever and in any manner arising out of or related to participation in this Youth Clinic, including but not limited to personal injuries sustained by participant. In the event of a medical emergency occurring during the Youth Clinic, the undersigned hereby authorizes all necessary measures in the medical treatment of participant.
Signed _______________________________ Relationship to Participant___________________________
RETURN THIS COMPLETED FORM TO:
MATT FAHEL
1619 W. CHRISTINE AVE.