Junior Golf Release Form

WASHINGTON COUNTY GOLF COURSE
RELEASE OF LIABILITY AND PHOTO CONSENT FORM
Name of Participant: _________________________
In consideration of the Participant being permitted to engage in the 2015 Junior Golf Program,
the undersigned:
1.
Hereby waives, releases, forever discharges and covenants not to sue Washington
County, the Washington County Golf Course (WCGC"), its agents, employees and volunteers
hereinafter referred to as "Releasees" from all liability for any and all damages, injuries, claims,
loss or expenses whether caused by the negligence of the Releasees or otherwise.
2.
Hereby agrees to indemnify and hold harmless the Releasees from all liability
from any and all damages, injuries, claims, loss or expense to the Participant or their property
whether caused by the negligence of the Releasees or otherwise.
I hereby represent that I have carefully read and understand the contents of this form. I am
aware that it is a full release of all liability and sign the same of my own free will.
___________________________________________
Signature of parent/guardian
________________________
Date
___________________________________________
Print name
Please print the following:
Name of Participant
Address
City/State/Zip
Phone Number
In case of emergency:
Contact Name
Phone
Relationship
CONSENT
I grant Washington County, and the Washington County Golf Course, the right to use, publish,
post, and copyright my child’s image or comments (including audio, moving image or
photography) for educational programs, web sites, social media sites (such as Facebook and
Twitter) and for promotion of the Washington County Golf Course.
_____ YES (photo consent)
_____ NO (photo consent)