certification registration form eagle and ace
DESCRIPTION
Certification Registration Form EAGLE and ACETRANSCRIPT
TThhee FFiirrsstt TTeeee ooff GGrreeeenn VVaalllleeyy RRaanncchh 22001111 CCeerrttiiffiiccaattiioonn PPrrooggrraamm ---- EEAAGGLLEE LLeevveell IInnffoorrmmaattiioonn
Welcome to The First Tee of Green Valley Ranch 2011 Season!!
Please keep this sheet with you to reference important information about our program! Everything we need you to know is on this page or in the Parent
Handbook.
Parent Orientation
Our program is unique and we want you to be fully informed as we head into an exciting season. We ask that parents of ALL participants attend one of
the following Parent Orientations. During the Orientation, you will receive the Parent Handbook, may register for classes, discuss scholarship options
and become familiar with our teaching philosophy. IF YOU ARE NOT ABLE to any of the scheduled times, contact our office to schedule other
arrangements.
Wednesday, March 23 5:30 - 6:30 pm Tuesday, August 9 5:30 - 6:30 pm
Wednesday, March 30 5:30 - 6:30 pm Wednesday, September 7 5:30 - 6:30 pm
Tuesday, May 10 5:30 - 6:30 pm
Registration ($125 for returning TFTGVR-ers! $150 for NEW particpants)
Please fill out all of the information on the Registration form as well as the Code of Conduct form.
Keep in mind the phone number(s) and e-mail address(es) listed on the registration form will be the main forms of communication we use to
let you know about Class Cancellations, special TFTGVR events and other participant correspondence.
Financial information is kept confidential and is crucial when we apply for grants and additional funding for our program.
Scholarship applications are available upon request. We will grant partial or full scholarships based upon the application.
Schedule
Below is the schedule template for the 2011 season. Classes will be scheduled and posted on the website. Class registration will close at 12am
Monday each week. Each month a certification trial will be offered for participants who have completed their scorecards. Additionally, we will hold expo
days and morning camps for each level. More information on those events to come!!
Monday Tuesday Wednesday Thursday Friday Saturday
9:30-10:30
PAR
(every other
week)
10:30-11:30
11:30-12:30
3:30-4:30 TARGET PAR EAGLE Mentor
Play
Day
4:30-5:30 PAR PLAYer PAR BIRDIE
5:30-6:30 BIRDIE PAR TARGET PLAYer
Scorecards 2011
The scorecards have been changed slightly from last season. All milestones will carry over into the 2011 season! Practice and Playing requirements will
be erased and must be completed before participants may attempt certification.
EAGLE Level Milestones
PARTICIPATION SERVICE
PU
TT
ING
#2
PU
TT
ING
#3
PU
TT
ING
#4
PU
TT
ING
#5
CH
IPP
ING
#2
CH
IPP
ING
#3
CH
IPP
ING
#4
CH
IPP
ING
#5
PIT
CH
ING
#2
PIT
CH
ING
#3
PIT
CH
ING
#4
PIT
CH
ING
#5
FU
LL S
WIN
G #
2
FU
LL S
WIN
G #
3
FU
LL S
WIN
G #
4
FU
LL S
WIN
G #
5
RU
LES
#3
GR
EE
NS
IDE
BU
NK
ER
FA
IRW
AY
BU
NK
ER
TA
CT
ICA
L A
WA
RE
NE
SS
RO
UG
H
EQ
UIP
ME
NT
FIT
TIN
G
WE
LLN
ES
S
SH
OR
T G
AM
E H
AN
DIC
AP
PA
R 3
MA
INT
EN
AN
CE
HO
RT
ICU
LTU
RE
OU
TS
IDE
SE
RV
ICE
ME
NT
OR
TA
RG
ET
CLA
SS
ME
NT
OR
PLA
YE
R C
LAS
S
ME
NT
OR
FO
R P
LAY
DA
Y
ME
NT
OR
FO
R P
LAY
DA
Y
ME
NT
OR
FO
R P
LAY
DA
Y
NO
N T
FT
EV
EN
T
NO
N T
FT
EV
EN
T
ORGANIZED PRACTICE INDIVIDUAL PRACTICE
PLAYING--W/ POST ROUND REFLECTION With Coach | Individual TESTS
EA
GL
E C
ER
TIF
IED
PU
TT
ING
OB
JEC
TIV
E M
ET
SH
OR
TG
AM
E O
BJE
CT
IVE
ME
T
GR
EE
NS
IN R
EG
ULA
TIO
N O
BJ
ME
T
FU
LL S
WIN
G O
BJE
CT
IVE
ME
T
PR
AC
TIC
E--
Put
ting
PR
AC
TIC
E--
Put
ting
PR
AC
TIC
E--
Chi
ppin
g
PR
AC
TIC
E--
Chi
ppin
g
PR
AC
TIC
E--
Pitc
hing
PR
AC
TIC
E--
Pitc
hing
PR
AC
TIC
E--
Ful
l Sw
ing
PR
AC
TIC
E--
Ful
l Sw
ing
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
18 H
OLE
RE
GU
LAT
ION
RO
UN
D
A/B
HO
NO
R R
OLL
AP
PLY
TO
LE
AD
ER
SH
IP A
CA
DE
MY
SE
LF-A
SS
ES
SM
EN
T
RE
QU
IRE
D R
EA
DIN
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YA
RD
AG
E B
OO
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OM
PLE
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WR
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--
Gol
f Ski
lls
WR
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EN
--
Life
Ski
lls
CE
RT
IFIC
AT
ION
Class Attendance
When coming to class each day, participants will check in to receive their name tag and First Tee Buck (only awarded to those who are on time to class).
Equipment will be issued at class check in if needed for the day’s lesson. If you will not be able to make it to a particular class, please let us know by
phone or e-mail prior to class.
Please let us know of any questions or concerns as they arise. We can be reached by phone or e-mail. See you soon!
W: 303.486.8800
TThhee FFiirrsstt TTeeee ooff GGrreeeenn VVaalllleeyy RRaanncchh
22001111 RReeggiissttrraattiioonn && PPeerrmmiissssiioonn FFoorrmm CCeerrttiiffiiccaattiioonn PPrrooggrraamm----PPaarr,, BBiirrddiiee,, EEaaggllee && AACCEE
Information: Participant’s First Name: Last Name: Gender Female Male
Address: _________________________________________________________ City: State: _______ Zip Code:
Phone:(work) _______________________ (home) _______________________ (cell) ___ E-mail:
Ethnicity: African-American Asian-American Caucasian Hispanic Native-American Pacific Islander Other
Birth Date:______/______/______ Age: ____________ Grade Level: 2010-11: 2011-12:
School: _____________________________________________________________ School District:
How did you hear about us? Flyer from school Website Flyer at a business Family/Friend From current participant Other
Parent/Guardian Name(s): Relationship:
Relationship: _________________________________________
Returning ? List Your Level: Par Birdie Eagle Ace New Participant? List Golf Experience: Never Played Beginner Intermediate
Advanced
Financial Information (For Grant Purposes Only): The First Tee of Green Valley Ranch relies heavily on grants in order to keep the cost for participants down. The information you provide below is strictly confidential and is
pooled to collectively report our information to these organizations. We appreciate you providing this information.
Family Income: Below $10,000 $10,000 - $24,999 $25,000 - $49,999 $50,000 - $74,999 $75,000 - $100,000 Above $100,000
Is the student eligible for Free or Reduced Lunch (based on the Federal Free or Reduced School Lunch Program)? Yes No
Media Release I herby give The First Tee of Green Valley Ranch (TFTGVR), the home office and participating agencies permission to use film, video tape and/or photographs of my child for
lawful promotional or informational purposes. Parent/Guardian Initials _____
Equipment Do you need equipment (golf clubs) during class session? Yes No If yes, what is your height? _______ ft. ________ in. Right or Left Handed
I understand that any golf equipment received for use is the property of The First Tee of Green Valley Ranch program, and may be returned at the discretion of The First
Tee of Green Valley Ranch facility upon the termination of the participant’s involvement in the program. Parent/Guardian Initials _____
Emergency Medical Information In the event that I, or the contact noted below, cannot be reached in an emergency, I agree to accept any and all determinations of need for medical assistance and/or
administration of medical attention deemed necessary by The First Tee Chapter representatives. I hereby give permission to the medical personnel selected by The First
Tee Chapter representatives to secure any and all medical, hospitalization, dental, and/ or surgical treatment. In the event that such medical treatment is needed from a
healthcare provider, all costs shall be the responsibility of the parent or guardian. Parent/Guardian Initials _____
Emergency Contact Person: __________________________________________________________ Phone Number: __________________________
Are there any medical conditions that we need to be made aware of? Yes No If yes, please explain ____________________________________
_______________________________________________________________________________________ ___________________________________________
After Class/Tournament Safety Guidelines TFTGVR recognizes the responsibility to provide a safe learning environment for all of our participants. To ensure the safety of your child/children, we will take the following
action when your child tells us that his/her pick up person has not arrived at their pre-arranged time. All numbers provided for parental contact and emergencies will be
tried, and if there is no commitment from a responsible party by 30 minutes after close of programming hours, or completion of event we will contact the Denver County
Office of Child Protective Services for assistance in ensuring the safety of your child. Parent/Guardian Initials _____
Mentors/Coaches TFTGVR relies on the assistance of volunteers to help provide the best coaching and supervision possible to our enrolled participants. Available opportunities include:
coaching classes, supervising practice areas, registration, and mentoring play-days. Are you interested in becoming a mentor or coach? Yes No
Waiver of Liability I agree the above child’s participation in TFTGVR at Green Valley Ranch Golf Club, is without assumption of liability of any nature by the Colorado Open Golf Foundation dba
The First Tee of Green Valley Ranch, Green Valley Ranch Campus, its officers, directors, employees and staff or other volunteer instructors, any golf course or driving range
or any other facility where the program activities are conducted, including transportation. I do hereby release/discharge the above mentioned individuals and entities from
any and all claims my child may suffer or sustain, directly or indirectly, in connection with any such participation and activities. I have read and understand the Parent &
Participant Handbook and agree to the policies and procedures set forth. I consent to The First Tee Chapter and the home office communicating information regarding my
child’s participation via the internet. Further, I understand that any activity involvement outside of TFTGVR programming hours, the chapter as well as any organization
associated with it is deemed not responsible.
Parent/Guardian Signature: Date:
Upon Orientation attendance, please complete the entire application and return with payment to:
Colorado Open Golf Foundation ● The First Tee of Green Valley Ranch
20309 E. 48th Pl., Denver, CO 80249 ● Phone (303) 486-8800 ● Fax (303) 486-8823
Make Check Payable to: Colorado Open ● A $25 fee will be charged for returned checks ● Scholarship Applications are available by request
TThhee FFiirrsstt TTeeee ooff GGrreeeenn VVaalllleeyy RRaanncchh
CCooddee ooff CCoonndduucctt
The First Tee of Green Valley Ranch requires ALL participants and parents/guardians to follow our Code of
Conduct. Please read the following together and the participant initial where indicated.
RESPECT FOR MYSELF
_ I will dress neatly in a clean shirt tucked into pants or shorts, and I will wear (tied) golf shoes or athletic shoes.
_ I will try my best and keep a positive attitude when I play or practice.
_ I will keep a positive attitude and catch myself doing something right regardless of the outcome.
_ I will be physically active, eat well, get enough sleep, and take care of myself so I can stay healthy.
_ I will be honest at all times, including when I keep score and if I break a rule.
_ I will use proper etiquette and maintain my composure even when others may not be watching.
RESPECT FOR OTHERS
_ I will follow all instructions and safety rules.
_ I will keep up with the pace of play on the golf course.
_ I will be friendly, courteous, and helpful.
_ I will remain still and quiet while others are playing and have fun without being loud and rowdy.
_ I will be a good sport toward others whether I win or lose.
RESPECT FOR MY SURROUNDINGS
_ I will keep the golf course and practice areas clean and in as good or better shape than I found them.
_ I will clean and take care of my and others’ golf equipment.
_ I will be careful not to damage anything that belongs to others.
GENERAL
_ I will read and follow the policies and procedures as set forth in the Participant & Parent Handbook.
I understand that I am responsible for regular attendance. If, for any reason I am unable to attend a class, I will contact The
First Tee of Green Valley Ranch as soon as possible. Repeat absences may result in suspension from future class registrations.
PARENT/GUARDIAN
_ I will read and follow the policies and procedures as set forth in the Participant & Parent Handbook. I understand that I am
required to attend a Parent Orientation in order for my child to begin programming at The First Tee of Green Valley Ranch. My
attendance and participation at the orientation will give me the opportunity to gain information as well as foster my child’s
development in The First Tee program.
By signing below, it is agreed and understood that both the participant and parent/guardian will abide by this code.
______________________________________ _____________________________________________
Parent/Guardian Signature Participant Signature
___________________________________________________ ____________________________________________________________
Parent/Guardian (Please Print Name) Participant (Please Print Name)
___________________________________________________ ____________________________________________________________
Relationship to Participant Date