PlayPlantation - Camp Registration

Are you a Plantation Country Club member? *

Yes No

Plantation CC Membership Number

NonMember Rate

Pick at least 3 or more weeks to get the best weekly rate of $99 per week. That's a savings of $30 Per Week when you register for 3 or More Weeks! Pick 2 Weeks- and SAVE $10 on each week.
Multi-week discount will automatically be applied at checkout.

Select all Clear all

Wk1: Jun 2-6 Wk2: Jun 9-13 Wk3: Jun 16-20 Wk4: Jun 23-27 Wk5: Jun 30-Jul 3 Wk6: Jul 7-13 Wk7: Jul 14-18 Wk8: Jul 21-25 Wk9: Jul 28-Aug 1

Membership Rate

Pick at least 3 or more weeks to get the best weekly rate of $89 per week. That's a savings of $30 Per Week when you register for 3 or More Weeks! Pick 2 Weeks- and SAVE $10 on each week.
Multi-week discount will automatically be applied at checkout.

Select all Clear all

Wk1: Jun 2-6 Wk2: Jun 9-13 Wk3: Jun 16-20 Wk4: Jun 23-27 Wk5: Jun 30-Jul 3 Wk6: Jul 7-13 Wk7: Jul 14-18 Wk8: Jul 21-25 Wk9: Jul 28-Aug 1

Parent/Guardian

You will receive your receipt by email. Multi-Week Discount will automatically calculate at checkout.

Relationship

First name *

Last name *

Email *

Mobile *

Child Participant

First name *

Last name *

Gender

Date of birth

General Message to Staff

Child's Emergency Contact

Relationship

First name

Last name

Email

Mobile

Assumption Of Risk, Consent & Liability

I hereby expressly and affirmatively state that I have voluntarily submitted participation at Plantation Golf and Country Club. I certify and acknowledge that my participation in any activity involves a risk of injury that are a common and ordinary occurrence with such activities.

I hereby freely and expressly ASSUME and accept ANY AND ALL RISKS to me or any member of my family while participating in the activities. Further, I voluntarily elect to participate, or have my child participate, in the activities. As consideration of engaging in the activities, I agree to ASSUME ALL RISKS associated with the camp activities and agree to hold harmless, release, defend and indemnify Plantation Golf and Country Club and its officers, agents and employees, from any and all claims and causes of action, including those for injury or death to persons or damage to property arising from participation in the activity.

I hereby agree to indemnify and hold harmless Plantation Golf and Country Club for any injuries to me or to other person(s) or property that I may cause because of participating in the activities. I further waive, release, and forever discharge Plantation Golf and Country Club and all of their representatives, and all others from any and all responsibilities or liability for injuries or damages resulting from participation in the activities. This Agreement and Release of Liability applies to the undersigned any children of the undersigned participating in the activities.

I further certify that the participant is in good health.

WARNING: THIS WAIVER AND RELEASE ACTS AS A RELEASE OF YOUR RIGHTS. BY EXECUTION OF THIS AGREEMENT, YOU ARE AFFIRMING THAT YOU HAVE READ THIS DOCUMENT AND AGREE TO THE CONDITIONS STATED HEREIN. IF, YOU DO NOT UNDERSTAND THIS AGREEMENT, YOU MAY WISH TO CONSULT AN ATTORNEY OF YOUR CHOICE.

Photograph Authorization

I understand that my photograph, and/or my child’s (person participating in the activities) photo may be taken during his/her participation in any group activities, and I give permission to display said photos, if taken.

I read and accept *

Please read and scroll to the bottom to accept.

Electronic signature*

Please sign your name inside the box

Draw Type

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