EVERGREEN ELITEapplication Please fill out the form below First and Last Name Player phone number Player email Birthdate School Please select a location: Redmond Tacoma What Training Track are you interested in? Perform Compete Excel How long have you been playing golf? Less than 1 year 1-3 years 3-5 years 5+ years If you have a GHIN Handicap, please provide your GHIN #: What is your current handicap or average score for 18 holes? (If applicable, please provide official handicap) Do you compete in golf tournaments? Yes No Not yet, but I'm interested If yes, please list some of the tournaments you have participated in over the past year. (Include tournament names, scores, and placements if possible) Confrimation: By checking this box, I understand and agree to pay for the full 3-month Evergreen Elite session. Dietary Restrictions Social Media Handles Name Phone Email Address City Zip Name Phone Email Address City Zip I, the undersigned, am undertaking to use the facilities and equipment of EGC, LLC (the Club”) in connection with golf-related activities, which may include the use of golf clubs and the driving of golf balls in an indoor setting in near proximity to other users, visitors, invitees or observers, and other uses of Club equipment or facilities. I understand that such activities can be HAZARDOUS, and that in using Club equipment or facilities l understand and accept such risks and dangers whether they are marked or unmarked. I also recognize that the use of Club facilities or equipment be a strenuous physical activity that may require movements such as bending, lifting, or twisting. I realize that slips, falls, and other accidents do occur and serious injuries or death may result from such activities and I assume full responsibility for these risks. IN CONSIDERATION FOR ANY USE OF THE CLUB EQUIPMENT, FACILITIES, VEHICLES, OR ENVIRONMENT, I HEREBY RELEASE AND AGREE TO HOLD HARMLESS AND INDEMNIFY EGC, LLC, ITS SUBSIDIARIES, EMPLOYEES, INSTRUCTORS OR AGENTS FROM ANY AND ALL CLAIMS AND LIABILITIES ARISING OUT OF OR IN CONNECTION WITH THE USE OF SUCH FACILITES AND EQUIPMENT. I certify that I am in sufficiently good physical condition to withstand physical strain and exertion, and I assume all such risks by requesting entry into the Club facilities or use of Club equipment. I am aware that none of the staff or instructors of EGC, LLC are trained to provide medical assistance or treatment to any Club participants. On behalf of myself, my heirs, executors, and administrators, I do hereby waive and release all rights and claims for damages I might accrue against EGC, LLC and against any of its managers, members, employees, officers, or instructors, or their successors, representatives and assigns, for any and all injuries suffered by me while participating in any activities at or connected in any way with any EGC, activities, classes or programs. PARENT/GUARDIAN SIGNATURE REQUIRED Date: Confrimation: By checking this box, I confirm that I have filled out all this information correctly and have read the Liability Waiver carefully and agree to the terms of Evergreen Golf Club's Liability Waiver. Disclaimer By checking this box, you confirm that the collection of your phone number and email address via this page is used for all communications between you and us through voice, messaging, and/or email. SUBMIT
