Summer Camp Registration Form

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

*CANNOT BE PARENTS
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 2019 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
PAYMENT FORM

Pricing: Members - $250 for first child, $225 per additional siblings
Non-Members - $300 first child, $275 per additional siblings
Camp hours: 8:30am – 3:00pm

Week 1

June 17th-21st


Week 2

June 24th-June 28th


Week 3

July 22nd-26th

 

 
PAYMENT METHOD

*Non-member registration forms will not be accepted without a completed credit card authorization form.


Credit Card Authorization Form


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
* Denotes Required Field
       
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4100 Greystone Drive Birmingham, Alabama 35242
Legacy Clubhouse
330 Legacy Way Birmingham, Alabama 35242
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