JC RESORTS JUNIOR GOLF PROGRAM REGISTRATION FORM Encinitas Ranch Golf Course GOLFER INFORMATION Age(s) of participant(s): 67891011121314151617 Name(s) of participant(s): Parent Information: Emergency Contact: Health Concerns, Allergies or other Special Considerations: Please include with this application your completed Waiver and Release of Liability form. I understand that my signed Waiver and Release of Liability form is part of my registration. I also understand that primary insurance coverage is my individual or family plan. I have no objection to JC Resorts using a photographof my child in promotional materials. I understand that this program may be cancelled due to insufficient enrollments, in which case my fee will be refunded. JC RESORTS JUNIOR GOLF PROGRAM PARTICIPANT’S WAIVER AND RELEASE OF LIABILITY I, the undersigned parent/person having legal custody/guardianship of , give permission for said minor to participate in the Junior Golf Program. I certify that my minor is six (6) years or older, in good health and capable of participating in the Junior Golf Program. In consideration of said minor being permitted to enter the Encinitas Ranch Golf Course (the “Club”) and participating in the Junior Golf Program, I, on behalf of myself (as parent or guardian) agree as follows: 1. I acknowledge that minor’s participation in the Junior Golf Program may result in serious bodily injury or death. With these and similar risks in mind, on behalf of myself and my heirs, next of kin, executors, administrators, successors and assigns, I hereby fully and forever release, waive and discharge the owner and operator of the Club and each of its officers, directors, shareholders, employees, agents, contractors, attorneys, insurers, parents, subsidiaries and successors in interest (collectively, with the Club, the “Released Parties”) from all claims, demands, obligations, causes of action and/or liabilities for personal injury, property damage or wrongful death which now exist or may hereafter arise that relate in any way to my child’s presence, or participation in the Junior Golf Program at the Club. 2. In the event that any action, suit, claim or demand of any kind or nature is brought in the future asserting any claim against the Released Parties, I shall, to the fullest extent permitted by law, indemnify, defend and hold harmless the Released Parties against any and all claims, demands, actions, liabilities and expenses (including reasonable attorneys’ fees and costs) incurred by them in connection with the investigation, defense, settlement, trial or appeal of such action, suit or claim to the extent that such claims, demands, actions, liabilities and expenses (including reasonable attorneys’ fees and costs) arise from or relate to my minor child’s presence, or participation in the Junior Golf Program at the Club. 3. I assume full responsibility for, and risk of, bodily injury, death, or property damage due to the negligence of the Released Parties or otherwise. 4. I agree that the Club shall have the right, at its discretion, to enforce rules of conduct and/or terminate my minor child’s participation for failure to act in conformance thereof, or for his or her actions or conduct if detrimental to or incompatible with the welfare, comfort, harmony, course rules or interest of the Junior Golf Program as a whole. Golf course etiquette is taught and is strived for by all. 5. I hereby grant the Club Full authority to take whatever action, in their discretion, is determined to be necessary for my minor child’s health, safety and welfare, and I fully release the Released Parties from any liability for such actions, as set forth herein. I understand that the Club is not responsible for costs incurred for medical care. 6. I intend this document to be as broad and inclusive as is permitted by the laws of the State of California. If any portion hereof is held invalid, I agree that the balance shall continue in full force and effect.
