National Sports Center for the Disabled - outdoor recreation opportunities for individuals with disabilities

Home

About Us

Sign up for a Lesson! • Winter Programs • Summer Recreation • Competition
AbilityCAMP • Soccer AbilityLEAGUE • NSCD-Kansas City

• KC AbilityCAMPs
     • KC Chiefs
     • KC Golf Clinic
     • KC Royals
     • KC Wizards
• KC Partners
• KC Events
• KC Winter Programs
• KC Staff and
Advisory Board

Kansas City Golf Clinic

Date: June 23, 2008

Time: 8:30 - 10:30am, Adult Clinic (18 & older)
10:30am - 12:30 pm, Youth Clinic (17 & younger)

Location: Adams Pointe Golf Course, 1601 R.D. Mize Rd, Blue Springs, MO

Schedule:

8:30 - 8:45am	Adult Registration/Check-In
8:45 - 10:30am	Adult Skills Clinic
10:30 - 10:45am	Youth Registration
10:45 - 12:15pm	Youth Skills Clinic
12:15 - 12:30pm	Snacks & Giveaway

This free interactive golf camp allows kids with disabilities, either physical or developmental, ages 6-18 to experience first hand the sport of golf. Also, added this year is an adult session. This fun filled day will include instruction and skill development, use of equipment, games, and a snack. Individuals and groups are welcome.

AbilityCAMP Registration Form
AbilityCAMP:	* required
Adult or Youth:	* required
Participant First Name:	*
Participant Last Name:	*
Parent/Guardian Name:	*
Address:	*
City:	*
State:	*
Zip Code:	*
Phone:	*
Email Address:	*
Age:	*
Date of Birth:	*
Sex:	Male Female *
Disabilities:	*
Seizures:	Yes No *
Medications:	*
Wheelchair:	Manual Power
Sign Language Interpreter?	Yes No *
Emergency Contact:	*
Emergency Contact Phone:	*

AbilityCAMP Participant Waiver of Liability
In consideration of my child (participant) being permitted to participate in the Golf AbilityCAMP offered by the Kansas City Missouri Parks & Recreation, National Sports Center for the Disabled, and the Adams Pointe Golf Course in the city of Blue Springs Parks & Recreation, on behalf of my child, myself, and anyone who obtains rights from my child or me, I hereby voluntarily waive, fully release and discharge any of the above mentioned agencies and entities, their directors, officers, employees, agents, insurers, various sponsors and paid and non-paid volunteers from liability for injury, illness, death, damage or loss to participant or participant’s property arising out of or in any way related to Participant’s activities at the Golf AbilityCAMP. I understand that the staff/volunteers of this camp are not allowed to administer medication or provide personal care such as feeding, toileting, and/or dressing. Anyone needing this type of assistance must make their own arrangements. I have read this form and understand its content and request registration for my child.
Agree:	Yes No *
Photo Release

I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree:	Yes No *
Participant Name:	*
Parent/Guardian Signature:	*
Date:	*
Sign here:	__________________________
Please print this page out and bring it to the camp with you.

P.O. Box 1290, Winter Park, Colorado 80482 USA phone: 970.726.1540 or 303.316.1540 Fax 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email: info@nscd.org

Home • About Us • Programs • Events • Donations & Sponsors • Volunteers • Media • Links & Resources • NSCD-KC