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o �; 2323 Hamline Avenue • Roseville, MN 55113 ,1 f f 651-633-TEES (8337) • WWW.CityofRosevllle.COm/Golf 2011 Youth League I N J 4 rt i✓ �t'r/1J 1,l i�� information Roseville Cedarholm Youth Golf League is open to boys and girls ages 10-15. l League play is on Mondays for ten weeks from June 13 -August 22, with tee ' times from 11:30am-2pm. No league play on July 4. Different events are played w ' „1 each week with prizes awarded the following week. August 22 will consist of a scramble tournament (with tee times) and root beer floats to follow the round. , Mandatory Basics/Etiquette Clinics will take place on June 13, presented by GolfTEC. Clinics run for 35 minutes at 10:45, 11:30, 12:15, 1:00 or 1:45. League members must attend one of the clinics. To'ImProw li Need clubs?A limited number of rental clubs are available to youth league members who do not own their own sets thanks to the support of Hamline AutoBody! Complimentary club usage is available during youth league only. Please contact the clubhouse manager to to reserve clubs. Registration Options (beginning March 1): Mail: FIII out form below & send 2323 Hamline Ave., Roseville, MN 55113 In-Person: In the clubhouse, once open for the season Online Registration: CityofRoseville.com/Parks, program #9500.214 Fee: $120, includes registration fee, clinic, green fees for ten weeks, league t-shirt, weekly prizes and root beer floats on the last day of league. Please contact Nicole Dietman, Clubhouse Manager with questions: 651-792-7154 / golf @ci.roseville.mn.us .............................................................................................................................. 2011 Youth League Registration Child's Name: Birth Date: Age: (must be 10-15) Street Address: City: State: zip: Home Phone #: School: Requested Tee Time for 6/13: T Shirt Size: Youth M Youth L Adult S Adult M Adult L Clinic (must attend one): 10:45am 11:30am 12:15pm 1:OOpm 1:45pm Names of others you'd like to golf with: Any disability, allergy or special need we should be aware of? Emergency Contact: E-mail: Parent/Guardian Signature: Phone #: Total Due: $120.00 Checks payable to: Roseville Cedarholm Golf Course. Mail/drop off at: 2323 Hamline Avenue North Roseville, MN 55113 Liability Waiver:I understand that participation in this activity is completely voluntary.I recognize that there are risks in my participation in this activity.I agree to accept those risks.I also agree,in consideration for my being allowed to participate in this activity,and on behalf of myself,my heir,executors,administrators and assigns,to release and discharge the City of Roseville,sponsor(s)of the event or activity,and their officers,employees,agents,successors and/or assigns from liability for any and all injury,damage or loss that is or may arise from my participation in this activity. Data Practices Act Notice:Pursuant to the Minnesota Government Data Practices Act,you are being requested to furnish certain information that is classified as private under the Act.The City collects such information in order to properly process requests to participate in activities.You may refuse to provide such information,but such a refusal may affect your ability to participate.The information will be maintained by the City Park and Recreation Department,and may be accessible to anyone in the Department,or in other Departments of the City.