Clark Chieftain golf clinic

This clinic is designed for 3rd through 8th grade boys & girls who are interested in improving their golf skills, and prepare for competition at Clark & individual tournaments.

Dates:

Where:

Time:

Cost: $35

July 23rd to July 26th 2019

Belmont Country Club

8:00 to 11:00 AM Daily

Pre-Registration:

Send entry forms and fees to Clark Intermediate School/C.O. Bobby Mammen, Athletic Director, by Monday, June 3rd.

902 Fifth St

Clovis, Ca 93612

Make checks payable to: Clovis Unified School District

Registration can also be on the first day of camp, Tuesday, June 23rd, at Belmont Country Club.

Instructors:

Matt Gutilla, Clark Boys Golf Coach, Clovis Cup Director

Brandon Renwick, Clark Girls Golf Coach

My child has my permission to attend the above camp on July 23-26th. I certify that my child has no medical or emotional problems which may affect his/her ability to safely participate in all camp activities. I hereby authorize the camp director & coaches to act for me according to their best judgment in any emergency requiring medical attention while attending camp.

I understand that my child MUST HAVE current and active medical insurance before he/she can attend camp. I hereby waive and release the Clovis Unified School District, its employees and camp staff from all claims arising from any injuries or expenses relating to injuries while my child is at camp. List of any allergies, medications, limitations and/or conditions (in the event that medical attention needed):________________________________________________________________________________________________.

Parent Signature_____________________________________Date________________

Medical Insurance Company_______________________ Policy #__________________

In case of emergency contact:___________________________Ph.#_______________

In accordance with CIF bylaw 207, any athlete who transfers from School “A” to School “B” after having prior contact, during the previous 24 months, either directly or indirectly with school “B” prior to enrollment shall not be eligible at School “B” for 365 days from initial date of enrollment. This includes this camp, clinic, AAU, club team, and/or workouts.