Register online for Huerfano County Junior Golf Camp Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Child's Name *Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Grade 2024-2025 *Parent's Name *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Special Medical Needs/AllergiesDo you need roundrip transportation from Walsenburg? *YesNoCONSENT TO EMERGENCY TREATMENT WE HEREBY AGREE NOT TO HOLD TWO PEAKS FITNESS INC., ITS EMPLOYEES, AGENTS, VOLUNTEERS, OR INSURERS, LIABLE FOR THE PROVISION OF EMERGENCY SERVICES TO MY/OUR CHILD IN CONNECTION WITH MY/OUR CHILD'S PARTICIPATION IN HUERFANO COUNTY JUNIOR GOLF CAMP. I have read and agree to abide by policies set for by Two Peaks Fitness Inc. regarding payment, facility and drop-off policy, water policy, etiquette, and proper attire. I understand that Junior Golf Camp is a drop-off only activity. Please provide transportation for your child to and from the Grandote Peaks Golf Club. I allow Two Peaks Fitness to use my child's name and/or photographic likeness in all forms and media for advertising, trade, or any lawful purpose. Enrollment fee: $30 for 3 days All registrations and payments must be received prior to June 10. NO REFUNDS. Registration is limited to the first 50 complete signups. Parent or Guardian Consent * Clear Signature Date *ACTIVITY WAIVERRELEASE OF LIABILTITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, AND INDEMNITY AGREEMENT (hereinafter referred to as the "Release Agreement") Name *FirstLastAddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAgeTwo Peaks Fitness, Inc. (to be referred to as "organization" and its (their) directors, officers, employees, instructors, guides, agets, representives, independent contractors, subcontractors, suppliers, sponsors, successors and assigns (all of whom are hereinafter referred as "the Releasees") "ACTIVITY": JUNIOR GOLF CAMP (to be referred to as "ACTIVITY" in this document) DEFINITION In this Release Agreement, the term “ACTIVITIES” shall include all activities, events or services provided, arranged, organized, conducted, sponsored or authorized by the Releasees and shall include, but is not limited to: “ACTIVITY”; “ACTIVITY” rental; orientational, and instructional courses, seminars and sessions; travel, transport and accommodation; and other such activities, events and services in any way connected with or related to “ACTIVITY”. ASSUMPTION OF RISKS I am aware that “ACTIVITY” involves many risks, dangers, and hazards. The risks, dangers and hazards, including but not limited to: loss of balance; difficulty or inability to control one’s speed and direction; variation or steepness in terrain; rapid or uncontrolled acceleration on hills and inclines; mechanical failure of equipment; variation or changes in the playing surface including rocks, gravel; changing weather conditions; exposure to temperature extremes or inclement weather; travel or transport to and from the sites used for “ACTIVITY”; travel on highways and backcountry roads; encounters with domestic and wild animals including dogs, bears and cougars; collision with pedestrians, motor vehicles, cyclists and other players; failing to play safely or within the limitations of one’s own abilities, negligence of other participants; and NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE ON THE PART OF THE RISKS RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF “ACTIVITY”. I AM AWARE OF THE RISKS, DANGERS, AND HAZARDS ASSOCIATED WITH “ACTIVITY” AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM. RELEASE OF LIABLITY, WAIVER OF CLAIMS, AND INDEMNITY AGREEMENT In consideration of the RELEASEES agreeing to my participation in “ACTIVITY” and permitting my use of their services, equipment and other facilities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the RELEASEES AND TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in "ACTIVITY" DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUATORY OR ANY OTHER DUTY OR CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, ON THE PART OF THE RELEASEES, AND FURTHER INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS, AND HAZARDS OF PARTICIPATING IN "ACTIVITY" REFERRED TO ABOVE; TO HOLD HARMESS AND INDEMNIFY THE RELEASEES for any and all liability for any property damage, loss, or personal injury to any third party resulting from my partiicpation in "ACTIVITY"; That I have medical insurance and will show proof of insurance; This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity; This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the State of Colorado and no other jurisdiction; and Any claim or litigation involving the parties to this Release Agreement shall be made solely under the laws of the State of Colorado and shall be brought only in the Huerfano County Court or the District Court in and for Huerfano County, Colorado. In entering into this Release Agreement, I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of participating in “ACTIVITY”, other than what is set forth in this Release Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Release Agreement Signature of Participant * Clear Signature Name *Release Agreement Signature of Guardian if Participant is under the age of 18 Clear Signature Registration fee (for one child) *Price: $30.00Square *CardName on CardSubmitSave and Resume Later Your form entry for Junior Golf Camp has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. 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