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2022 Ernie Els #GameON Autism® Golf Clinic

Participant Registration Form

Which regional Golf Challenge event are you attending?(Required)

Participant's Name(Required)

MM slash DD slash YYYY

Participant is:(Required)

Participant's golf skill level:(Required)

Participant communicates:(Required)

Participant's receptive language capability:(Required)

Parent/Guardian's Name(Required)

RELEASE, WAIVER OF LIABILITY And ASSUMPTION OF RISK(Required)

VIDEOGRAPHY/PHOTOGRAPHY/AUDIO RELEASE CONSENT

VIDEOGRAPHY/PHOTOGRAPHY/AUDIO RELEASE CONSENT

Please choose one:(Required)
Employees/staff/Contractors of the Els for Autism Foundation may use these photographic images, video segments, or audio segments for reasons other than therapeutic purposes, including dissemination on social media.

Please choose one:(Required)

Please choose one:(Required)

Please choose one:(Required)

If you have further questions about the information on this form, you may contact info@e4agolf.com.

Golf Course Attire

Only conventional and appropriate golf attire may be worn on the Club grounds. Shorts are permitted for both men and women but should rise no more than four inches above the knee. Apparel such as cargo shorts, short shorts, tennis shorts, athletic or jogging shorts, cutoff slacks, swimming attire, blue jeans, halter tops, fish-net tops, uncollared shirts (for men), and T-shirts are considered inappropriate. Shirts also must be tucked in at all times.

Please click HERE to view the proper golf course attire and ensure you are within the club’s guidelines.