• Child’s Information

  • Parent/Guardian Information

  • Emergency Contact

  • Pick-Up Authorization

    Only the following person, including parents if applicable,are authorized to pickup my child(ren). They will be asked to provide identification.If anyone else willbe picking up my child(ren); I will send a note, signedby me, to Alico Family Golf.
  • Health Information

  • Please Read Carefully

    1.I understand that no refund or adjustments are grantedfor illness, vacationor when Alico Family Golf is cancelled due to inclementweather. Programpayment is not transferable from one participant toanother.
    2.I understand that Alico Family Golf does not administerover the countermedication. In the event of an emergency in whichI cannot be contracted Alico Family Golf may take appropriate action to best serve the interest ofmy child.
    3.This application is made with the express understandingthat Alico FamilyGolf is not responsible for any sickness or injurythat the applicant mayreceive while in attending Summer Golf Camps.
    4.Alico Family Golf reserves the right to dismiss anychild who becomesdisruptive.
    5.I also give my permission for photographs taken ofmy child/ren duringsummer golf camp.
    6.A $50 non-refundable deposit is required to hold mychild(ren) slot.
  • Max. file size: 300 MB.
  • MM slash DD slash YYYY
  • *** Please note additional cost will incurfor early or late pick-up***