}hyatthills.com.com | 732.669.9100

Call the Golf Shop or Sign Up Online

INCLUDES: PGA Instruction, Lunch/Snacks, Hyatt Hills Logo Shirt and Hat, and a

6:1 Student / Instructor Ratio

8:30am to 3:30pm$599 June 25th – 29th July 9th – 13th July 16th – 20thJuly 23rd – 27thJuly 30th – Aug 3rdAug. 6th – 10thAug. 13th – 17thAug. 20th – 24th

All dates are Monday - Friday

SUMMER SCHEDULE

PRIVATE INSTRUCTION AVAILABLEASK OUR GOLF PROFESSIONAL FOR DETAILS

Helping Boys & Girls 6 - 16 Grow Into Golfers

2018Summer

Camp

8:30am to 12:30pm$349

The Billy Casper Junior Golf Camp ProgramApplication(Place a “” in the level to which you are applying.)

NOVICE INTERMEDIATE EXPERIENCED

Student’s Name: Male ☐ Female ☐

Address: City: State: Zip:

Mother’s Name: Home Phone: Work Phone:

Father’s Name: Home Phone: Work Phone:

Emergency #: Email (required): Student’s

Birth Date: Age of Student

When At Camp: Student’s School:

Shirt Size: Children’s ☐ Small ☐ Medium ☐ Large ☐ XLarge ☐ XXLarge Adult ☐ Small ☐ Medium ☐ Large ☐ XLarge ☐ XXLarge

Date(s) Applying for:

☐ Camp 1 | ☐ Camp 2 | ☐ Camp 3 | ☐ Camp 4 | ☐ Camp 5 |

☐ Camp 6 | ☐ Camp 7 | ☐ Camp 8 | ☐ Camp 9 | ☐ Camp 10

Waiver and Release:

Parent or Guardian Signature: _______________________________________________ Date: ____________ Register by: • Complete Application and submit with Payment to Hyatt Hills • Call Hyatt Hills to charge with Credit Card – 732-669-9100 (check box of method using)

☐AmEx ☐Visa ☐MasterCard ☐Check ☐Money Order

Credit Card #: ______________________________________________ Exp. Date: __________________

For Summer Golf Camp Questions, contact Justin Dupuis directly at: 256.613.4013 or jdupuis@hyatthills.com

Acknowledging that participation in athletics carries with it a risk of physical injury, I agree that the Junior Camp, Hyatt Hills Golf Course, its agents, commissioners and employees, shall not be liable to me or my child for any injury or damages, howsoever caused, resulting directly or indirectly from my child’s participation in the Hyatt Hills Golf or its programs, at any time preceding, during, or after the program is in session and I hereby discharge the Hyatt Hills Golf Course, its agents, commissioners and employees from all actions, claims, and demands I or my child may have for such injury or damage. I further authorize that the Hyatt Hills Golf Course has the right to use all photographs or videos taken of my child during the academy for advertising or promotional material.