2017 Co-ed Golf Registration Form Please complete a separate form for each player. Name______________________ Address_________________________ City_______________ Zip__________ Phone___________________________ Employment ______________________ Work/Cell Phone ___________________ Email Address_____________________ Fee Enclosed _____ $15.00 Golf League
(Make checks payable to: Jackson Friends Church)
What Church do you currently attend?
WAIVER AND INFORMED CONSENT STATEMENT
In consideration of my participation in the activities of the Jackson Friends Church, I do hereby declare myself to be medically able to participate in the activities offered by Jackson Friends Church. (I understand that there are risks which may include disabling injury and/or death involved in all physical activities and I agree to familiarize myself with all equipment, facilities, rules and physical demands related to the activities undertaken.) I agree to hold free from all liability the Jackson Friends Church and its respective officers, employees, members, volunteers, and sponsors and do hereby for myself, my heirs, executors and administrators, waive and release and forever discharge any and all rights and claims for damages which I may have or which may accrue to myself arising out of or connected with my participation in any of the activities of the Jackson Friends Church. I have been appraised of and acknowledge the participation in the 2017 League. Player Signature:
For office use only Date rec’d _______ Int _____ Amount________ Cash/ck________
Please complete emergency medical information on the opposite side.
“Whatever you do, in word or deed, do it all in the name of the Lord Jesus, giving thanks through Him to God the Father.” --Colossians 3:17
2017 CO-ED GOLF
LEAGUE (18 and over)
WEDNESDAY NIGHTS
May 3rd –Aug 30th JACKSON FRIENDS CHURCH 7945 PORTAGE STREET, N.W. MASSILLON, OHIO 44646 330-966-0616
[email protected]
REGISTRATION A complete registration form and fee can be returned to the drop box located at the Arlington Rd entrance of the church or mail: Jackson Friends Church Attn: Ron Wilson 7945 Portage St., N.W. Massillon, Ohio 44646
LOCATION OF PLAY Golfers will play 9 holes at Arrowhead (Fairways) Golf Course, 1500 Rogwin Cir. SW North Canton.
DAY OF PLAY & TIME All play will be on Wednesday evenings. The first tee time will be at 5:30 pm. Theme verses will be shared at each hole. LEAGUE RUN TIME The league will start May 3rd and end August 30th, 2017. LEAGUE FEE $15.00 by May 3rd
GREENS FEES 9 Holes Walking Course: $12.00 Riding cart: $17.00
Questions: Contact Ron Wilson at 330-478-0727 or at
[email protected]
EMERGENCY PROCEDURE INFO Person to contact in an emergency: _______________________________ Person’s Home Phone _________________ Person’s Cell Phone __________________ Second contact in an emergency: Person’s Home Phone __________________ Person’s Cell Phone __________________ Please list any allergic reactions, serious injuries or special procedures: ________________________________ ________________________________ ________________________________ Hospital preferred _________________ Doctor __________________________ Dentist __________________________ I give my permission to the staff to secure a licensed physician in the case of an emergency to provide the necessary care.
Signature _________________________
JACKSON FRIENDS SPORTS & RECREATION MINISTRIES Our goal at Jackson Friends Church is to provide an atmosphere that establishes the highest standards for spiritual, physical, emotional, and mental health. We encourage everyone who does not know Christ, to establish a personal relationship with Him. We encourage a deeper walk for those who already have a personal relationship with Jesus Christ. We seek to provide a place for sports and other recreational activities that will enhance fellowship and interpersonal relationships. We seek to provide a scriptural basis for competition in all our programs. We strive to achieve a fun and positive experience for everyone involved. We make these programs available to the community regardless of the person’s race, sex, creed or church background.