GAVC

Academy Registration

Your Information
User Name
Password
First Name
Last Name
Address
City
State
Zip Code
Home Phone
Cell Phone
Gender	Male Female
Date of Birth
Home Course
Ethnicity
Email
Experience	Years
Your Parents' Information
Name(s)
Email
Occupation(s)
Emergency Contact Information
Name
Phone

Waiver And Program Participation
The undersigned hereby agrees to defend, indemnify and hold harmless The Golf Academy of Ventura County, Inc. and its officers, employees and agents against any and all loss, liability charges and expenses (including attorney fees) and costs whatsoever which may arise by reason of participation in any program. (The Golf Academy of Ventura County, Inc. does not provide accident, medical, liability, workers’ compensation insurance or any other insurance for program participants.) As a parent/guardian, I hereby consent to emergency treatment of my minor child as a result of accident or injury. I further agree to pay any and all cost incurred as a result of said treatment. I agree to carefully inspect and satisfy for myself that the facilities provided are reasonably safe for their intended use. Once having conducted the inspection, I agree to expressly assume the risk of participation at the premises. I understand The Golf Academy of Ventura County retains the right to use photos taken during activities, for publicity purposes.
I have read the above waiver and agree to the terms and conditions