Facility to Attend *

• Vista Ridge
• Westridge
• Dallas Market Center
• Castle Hills **Tuesday - Friday**

Desired Camp Date *

-- Please Select --Spring Break Camp: March 12-15 June 4-7 June 11-14 June 18-21 June 25-28 July 9-12 July 16-19 July 23-26 July 30-Aug 2 August 6-9 August 13-16 August 20-23

Child's Name *

Child's Date of Birth *

Gender *

• Boy
• Girl

Parent/Guardian's Name *

Address *

Home Phone Number *

Emergency Phone Number *

Please list below any medical conditions that we should be aware of, including medications. Please also list any foods or medications that your child is allergic to: *

I, understand, as Parent/Guardian of the above named minor do hereby release the Hank Haney Golf Facility and instructors from any and all liability from any accidents which may occur while my child is at golf camp. I also authorize any medical assistance *

• I have read and agree to the terms

* Required Fields