Chester Country Club

2018Junior Golf Clinic

June 4, 11,18 25

8:00 – 11:00AM

Registration is open to students age 8 – 18, with priority given to past participants and CCC members. Fee includes CCC logo polo shirt, participation award, pizza party on June 25 and free golf play each Monday in June from 11AM to 4PM. (Students under 14 years must be accompanied by an adult.) Each student is also entitled to 3 free rounds of golf when accompanied by a paying adult (valid anytime during the 2018 golf season).

Make checks payable to: Chester Country Club

Mail entries to: Chester Country Club, P.O. Box 166, Chester, IL 62233.

Questions: Contact Dawn Colvis at 618-521-1066 or

CCC Junior Golf Clinic Rules:

1.Students will conduct themselves in a manner that is respectful to all staff and peers.

2. Cell phones must be turned off or put on vibrate mode.

3. Students must check in with their group leader at the beginning of each session.

4. Students will not be allowed to leave the premises with anyone other than a family member without the written consent of a parent.

5. Students are expected to wear the CCC logo polo shirt and name tag at each clinic session.

6. Each Student needs to provide their own balls and tees.

Registration Form

Name:
Address:
Phone:
Email:
Date of Birth: / Age as of June 1:

Allergies/health problems we need to be aware of:

______

Emergency contact duringclinic

Name:
Phone:

Please indicate:

______I have my own golf clubs.

______I do not have golf clubs.

Please circle any date you know you will be absent: June 4/ June 11/June 18/June25

Circle shirt size:

Youth M (10-12) L (14-16) XL (18-20)

Adult: S M L XL 2X

_____ Has CCC maroon Golf Shirt from last year and does not need a shirt……($10 less)

_____Member/Social member fee $35 (includes grandchild of member/social member)

_____Non-member fee $40

We have read and understand the CCC Junior Golf Clinic rules as stated above. The student agrees to abide by these rules.

Student's signature / Parent's signature / Date