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Summer Camp Registration

Members - $255 for first child, $230 second, $200 third
Non-Members - $295 first child, $270 second, $240 third


I. CAMPER INFORMATION
 
II. PARENT/GUARDIAN INFORMATION

Parent 1
Parent 2
 
III. (OPTIONAL) DO YOU HAVE ANOTHER CAMPER?
 
 
IV. (OPTIONAL) DO YOU HAVE ANOTHER CAMPER?
 
 
V. EMERGENCY CONTACT


EMERGENCY CONTACT 1
 
EMERGENCY CONTACT 2
 
VI. ALL OTHER PERSON’S AUTHORIZED TO PICK UP YOUR CHILD(REN) FROM CAMP:
 
VII. PERMISSION & LIABILITY WAIVER
My child(ren) has/have permission to fully participate in Greystone Golf & Country Club’s (GGCC) summer camp activities during the 2015 summer term. I, as parent/legal guardian, do hereby grant the GGCC staff and designated adults the right to authorize emergency medical treatment for my child in the event that I or my designated representative cannot be reached. I agree to hold harmless Greystone Golf & Country Club and its agents from liability resulting from an accident. The Alabama Good Samaritan Law will apply. I hereby grant permission for staff to take whatever steps may be necessary to obtain emergency treatment for my child. These steps may include, but are not limited to, the following: 1. In a life-threatening emergency or urgent situation, staff will call 911 before making any attempt to contact parents. 2. For a non-life-threatening emergency, we will attempt to call the parent/guardian first, and if we cannot reach them, we will attempt to contact the Emergency contacts listed on the Emergency Information form. If we cannot make an appropriate contact, we will call para-medics or the child's health care provider. I understand that GGCC and staff will not be responsible for anything that may happen as a result of false information provided by par-ents/guardians, or as a result of the parent/guardian’s failure to provide information at the time of enrollment. I understand that staff will not administer drug or medication without specific written & signed instruction from the health care provider and/or the child's parent/guardian. Enrollment for your child in GGCC’s Summer Camp Program constitutes your agreement to this waiver.
 

GREYSTONE GOLF & COUNTRY CLUB
REGISTRATION FORM

Camp will be held rain or shine
Pricing: Members - $255 for first child, $230 second, $200 third
Non-Members - $295 first child, $270 second, $240 third
Camp hours: 8:30am – 3:00pm

Week 1

June 11th-15th


Week 2

June 18th-June 22nd


Week 3

July 23rd-27th

 

 
PAYMENT METHOD


   
   
   
   

Contact Andy Gray to register today!
agray@greystonecc.com / (205) 776-3195
Return registration form to Andy Gray
Scan and email to agray@greystonecc.com
fax to (205) 980-5202, or
mail to 4100 Greystone Drive, Birmingham, AL 35242
       

Click here for billing form.

4100 Greystone Drive    Birmingham, Alabama 35242    Tel (205) 980-5200