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IGOCfC'l TINA. <br />._�eai-oComi-se <br />2323 Hamline Avenue • Roseville, MN 55113 <br />651 -633 -TEES (8337) - CityofRoseville.com/Parks/Golf <br />200T `YoutFi League Information <br />Registration for the 2007 Youth League will begin at 8 a.m. on March 5. [y <br />There are three ways of registering: <br />In-person at the clubhouse - or - <br />Mail in the registration form below (may not be post marked prior to March 3th) - or - <br />Online registration at www.CityofRoseville.com, activity #9500.201. <br />Registration is limited to the first 175 golfers and fills up each year. The Roseville Cedarholm Youth <br />League is open to boys and girls ages 11-15. The league plays on Mondays and runs from June 11 - August <br />13, 2007 (August 20th will be reserved as a rainout date if needed). Different events are played each <br />week. All golfers are required to prepay for the entire summer of golf. The entry fee is $15.00, which <br />includes a golf novelty item and weekly prizes. The total due at time of registration is $15.00 + (10 x <br />$9.50 green fee) _ $110.00. Please call 651-792-7154 for more info. Tee times are Mondays from 11:15 <br />a.m. - 3:15 p.m. (on a first-come, first-served basis). Each week participants will reserve their tee times <br />for the following week. <br />30 -minute clinics will be offered on Monday, June 11 at 10:30 Et 12:30. Golf basics and etiquette will be <br />the focus of these clinics. The clinics will be held at the putting green next to the clubhouse. <br />If you have any questions, please contact Nicole Dietman, Clubhouse Manager, at 651-792-7154 or <br />Nicole. DietmanC ci. roseville. mn. us. <br />2007 Youth League Registration <br />Child's Name: <br />Street Address: <br />City: <br />Home Phone #: <br />Birth Date; Age: <br />State: Zip: <br />School: <br />Tee Time for June 11 (First-come, first-served basis): T <br />Clinic time (optional): 10:30 a.m. 12:30 p.m. <br />Names of others you'd like to golf with: <br />Any disability, allergy or special need we should be aware of? <br />Emergency Contact: <br />Phone #: <br />(must be 11-15) <br />Parent/Guardian Signature: <br />Total Due: $110.00 Checks should be made out to Roseville Cedarholm Golf Course. <br />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 <br />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, <br />administrators and assigns, to release and discharge the City of Roseville, sponsor(s) of the event or activity, and their officers, employees, agents, <br />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. <br />Data Practices Act Notice: Pursuant to the Minnesota Government Data Practices Act, you are being requested to furnish certain information that is <br />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 <br />provide such information, but such a refusal may affect your ability to participate. The information will be maintained by the City Park and Recreation <br />Department, and may be accessible to anyone in the Department, or in other Departments of the City. <br />