SCS Home and School Assn.

Golf Club Signup

Registration Form Please fill information below. All fields with an * are required. Fill out a form for each child you wish to register. Please note that registration not complete until fee is paid! Payment may be submitted by clicking on the Purchase Items tab to the left.
I, the parent of	* required
Grade	* required
Phone	* required
	request that the school allow my son/daughter to participate in the SCS Golf Club. I hereby release and save harmless the parish school of Saint Catherine of Siena and any and all of its employees and volunteers from any and all liability for any and all harm arising to my son/daughter as a result of participating. I also affirm that we have our own medical insurance or have signed up for the school program.            In the case of medical emergency, I understand that every effort will be made to contact the parent(s) or guardian of my child. In the event that I cannot be reached, I hereby give permission to the physician attending my child to hospitalize and secure proper and necessary treatment for my son/daughter, as named herein. If your child has any medical conditions we should be aware of, please let us know what they are. Explain Here: By selecting the Agree button, you agree to acknowledge that you have reviewed the following and agree to the principles set forth in them and the medical release noted above.   All students are expected to be on their best behavior on the bus and at the country club.   Please note for parent volunteers: we must have a current 2009-2010 CORI form on file.
	Parent  * required Agree No, I cannot chaperon Yes, I can chaperon
	Student  * required Agree
Email address: Emergency Phone	* required  * required