2023 Summer Youth Registration

2023 Summer Youth Programs Registration & Emergency Contact Form

Summer is upon us! Whether you and your family are just getting to know us or are returning to Fort Collins Country Club for yet another summer of fun and excitement, we welcome you to our 2023 Summer Youth Programs! We are committed to providing you with a superior experience and are so excited to spend the summer with your children. There is no doubt the professionals who lead our youth sports programs, whether it be in golf, tennis, or swim are the best in the business. Additionally, we are excited to partner with KE Camps for the third year, a New Jersey based company specializing in country club camps for our summer adventure program. On behalf of the entire FCCC team, thank you for enrolling your children in our 2023 Summer Youth Programs. Here's to a summer of fun, adventure and excitement, which will be remembered for years to come.

• Name of Child (first & last name)*
  Please submit one form per child.
• Member Number*
• Child's Birth Date*
• Age of Child*
  • 5-7
  • 8-10
  • 11+
• Gender*
  MaleFemale
• Guardian Name*
• Guardian Phone Number*
• Guardian Email*
• Name of Emergency Contact*
  Name of person to be notified in an emergency if parents are not available
• Number of Emergency Contact*
• Relationship to Child*
• Medical Conditions and/or Allergies
• Name(s) of any person(s) other than parents/guardians to whom the child may be released
• Activity*
  • Swim Team | $175/participant | June 7 - July 27
  • Junior Tennis Development Classes | $100/session or $25/day
  • Junior Golf Development Camp | $100/session or $25/day
• TENNIS SESSIONS | $100 per session
  • Session 1: June 5 - June 16
  • Session 2: June 19 - June 30
  • Session 3: July 3 - July 14 (No classes July 4)
  • Session 4: July 17 - July 28
  Tuesday & Thursday | Ages 5-7: 9:15 - 10:00 a.m. | Ages 8-10: 10:00 - 11:00 a.m. | Ages 11-12: 11:00 - 12:00 p.m.
• GOLF SESSIONS | $100 per session
  • Session 1: June 7 - June 16
  • Session 2: June 21 - June 30
  • Session 3: July 5 - July 14
  • Session 4: July 19 - July 28
  Wednesday & Friday | Ages 5-7: 9:15 - 10:00 a.m. | Ages 8-10: 10:00 - 11:00 a.m. | Ages 11+: 11:00 a.m. - 12:00 p.m. |
• SWIM TEAM | $175 per participant
  • Swim Team: All Summer
  Tuesday - Thursday | Ages 5-7: 8:15 - 8:45 a.m. | Ages 8-10: 8:45 - 9:30 a.m. | Age 11+: 9:30 - 10:45 a.m.
• Member Signature*
• Consent*
  I agree to the Assumption of Risk and Release Agreement
  ASSUMPTION OF RISK: As a parent or legal guardian of participant, I am aware that the Activity involves inherent risks, dangers, and hazards that can result in serious personal injury or death. I am also aware that the Club facilities and/or equipment contain dangers and can cause serious injury or death. I and participant hereby freely agree to assume and accept all known and unknown risks of injury arising out of the Activity including injury or death that results from Club’s negligence, design of the facility and/or equipment, or from any third party. RELEASE AND INDEMNITY: In exchange for the Club allowing participant to participate in the Activity, I and participant understand and expressly acknowledge that we, on our own behalf and on behalf of the other members of our family, including spouse, parents, children, heirs, and assigns, release and indemnify the Club, its parent company, affiliated or subsidiary companies, and all their respective officers, directors, agents, contractors, employees, heirs, successors, assigns, volunteers and guests from all liability for any injury, loss or damage connected in any way whatsoever to participation in Activity that may result from Club’s negligence, design of the facility and/or equipment, or from any third party, whether on or off the Club’s premises and including any transportation. PROPERTY LOSS: All personal property brought to the activity is brought at the sole risk of the Participant as to its theft, damage, or loss. MEDICAL: I give my consent to emergency medical care and transportation in order to obtain treatment in the event of injury, as the Club may deem appropriate. PHOTOGRAPH PERMISSION: I give my permission for the Club to use, without limitation or obligation, photographs, film footage, or tape recordings that may include participant’s image or voice for purposes of promoting the Club’s programs. SEVERABILITY: Any provision or portion of this Release found to be invalid by the courts having jurisdiction shall be invalid only with respect to such provision or portion. The remaining provisions or portion hereof, shall be construed and enforced to the same effect as if such offending provision or portion thereof had not been contained herein.
  *Some restrictions and exclusions may apply. Call for details. Neither the summer camps nor participation in the summer camps is intended to replace or modify the medical advice of any doctor or health care provider. Participants should consult a health care provider for advice about a specific medical condition. Before participating in the programs, participants should consult a physician to determine if the summer program is appropriate for their needs. Participants should not participate in these summer programs if a physician or health care provider advises against it. Participants are encouraged to consult with a health care provider with any questions or concerns they may have.

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