Indian Springs Golf Club presents
Middlefield Park and Recreation After-School Golf Programs Cost: 4 weeks for $85 Strong School: Memorial School: ! ! John Lyman / Brewster:
Tuesdays 2:30 - 4:15 Wednesdays 3:00 - 4:30 Fridays 3:30 - 4:45
5/15 - 6/5 5/16 - 6/6 5/18 - 6/8
Please RSVP to
[email protected] so that we can plan & keep an excellent instructor to student ratio. Complete this form and return with a check made out to “Middlefield Park & Rec” to ISGC 132 Mack Road, Middlefield, CT 06455
Indian Springs has been conducting after-school golf programs for D-13 students for over 20 years. Bussing is available from school to the golf course. It is the parents’ responsibility to pick up students from the golf course on time. Please do not bring clubs to school. Clubs may be stored in the clubhouse basement at parents’ discretion. Please label all clubs with student’s name. (Address labels work well.) Loaner clubs are available. Please have kids wear sneakers and dress in layers, as temperatures may be unpredictable. Instruction provided by Indian Springs staff members.
Name_______________________________________ Grade______ School____________________ Address________________________________________________________Need Bus?__Y__N___ Email_____________________________________________Allergies_________________________ Phone #____________________________ Emergency back-up phone #_______________________ Waiver: I acknowledge that there are risks associated with participating in a recreational activity and agree to assume the risk of injury, which I may encounter. I hereby waive, release, and discharge the Indian Springs GC, Parks and Recreation Department and the Town of Middlefield from any and all claims for personal injury and property damage I may have while participating in this program or while on Town property.
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! ! ! ! ! ! ! _____________________________________________ ! ! Signature! ! ! Date ! (parent’s signature for minor)
