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Hole-N-One Junior Golf Broken Tee Golf Course 2101 W. Oxford Ave. Englewood, CO BrokenTeeGolf.com location 2101 W. Oxford Ave Englewood, CO 80110 303-762-2670 BrokenTeeGolf.com Broken Tee Golf Course is one of the finest public golf facilities in the Rocky Mountain region. The award-winning golf course is operated by Englewood’s Parks and Recreation Department. 2101 W Oxford Ave Englewood, CO 80110 www.brokenteegolf.com Registration Form, cont. Method of Payment: Check _______ Charge _______ Money Order _______ If Check: (payable to the City of Englewood). Colroado Driver’s License or Colorado ID #_________________ If Charge (circle one): Visa Mastercard Discover American Express Card #________________________ Exp. Date________Cardholder Signature__________________ Waiver Form I acknowledge that my participation or the participation of my child in this activity involves an inherent risk of physical injury to any person undertaking such activity or damage to this property. I hereby covenant and agree that I assume all risks associated with my or my child’s participation in the City of Englewood Parks and Recreation authorized activity and waive and release the City of Englewood, the Parks and Recreation De- partment and its representatives from any claim for damages and/or injuries incurred while participating in or as a spectator at this City of Englewood Parks and Recreation sponsored activity. I have read and under- stand this agreement and it shall be effective and binding upon the parties for this activity. Participants may be photographed while utilizing the facility, services or participating in a program of the Englewood Parks and Recreation Department, and said photographs, or likeness of me may be used to publicize activities as the Department deems appropriate. Parent Signature______________________________Parent Name Printed _____________________________

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Page 1: Hole-N-One location Junior Golf - Littleton Public Schools Tee Hole-N-One Junior...Junior Golf Broken Tee Golf Course 2101 W. Oxford Ave. Englewood, CO BrokenTeeGolf.com location 2101

Hole-N-One Junior Golf Broken Tee Golf Course

2101 W. Oxford Ave. Englewood, CO BrokenTeeGolf.com

location2101 W. Oxford Ave

Englewood, CO 80110303-762-2670

BrokenTeeGolf.com

Broken Tee Golf Course is one of the finest public golf facilities in the Rocky Mountain region.

The award-winning golf course is operated by Englewood’s Parks

and Recreation Department.

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I acknowled

ge that my participation or the participation of m

y child in this activity involves an inherent risk of

physical injury to any person undertaking such activity or d

amage to this property. I hereby covenant and

agree that I assum

e all risks associated w

ith my or m

y child’s participation in the C

ity of Englewood

Parks and

Recreation authorized activity and

waive and

release the City of Englew

ood, the Parks and

Recreation De-

partment and

its representatives from any claim

for dam

ages and/or injuries incurred

while participating in

or as a spectator at this City of Englew

ood Parks and

Recreation sponsored activity. I have read

and und

er-stand

this agreement and

it shall be effective and bind

ing upon the parties for this activity. Participants may

be photographed w

hile utilizing the facility, services or participating in a program of the Englew

ood Parks and

Recreation D

epartment, and

said photographs, or likeness of m

e may be used

to publicize activities as the D

epartment d

eems appropriate.

Parent Signature______________________________Pa

ren

t Na

me

Prin

ted

_____________________________

Page 2: Hole-N-One location Junior Golf - Littleton Public Schools Tee Hole-N-One Junior...Junior Golf Broken Tee Golf Course 2101 W. Oxford Ave. Englewood, CO BrokenTeeGolf.com location 2101

We focus on rules, etiquette, short and long game instruction and advanced shot techniques with an emphasis on fun. Children learn and build on fundamentals of golf in a positive environment while having fun.

• Award-winning program for ages5-15 years old.

• Designed for beginners toexperienced golfers.

• Top quality instruction• Low instructor to student ratios

about

This program includes: • Five, One-Hour Sessions with PGA

Professional (5-7 year old group willbe taught by golf staff.)

• Optional Free Lesson Day on June17 from 9AM-Noon

• Optional BBQ and Play Dayfor participants and parents onJune 22 from 11AM-2PM

•••••••••••••••

•••••••••••••••

To register:-Fax in this attached form, 303-762-2676-Call 303-762-2670-Online at EnglewoodRec.org -In person at the Pro Shop

Dates and Times

5-7 • 8-15 Ages will be divided for maximum enjoyment!

FEES Resident: $72 Non-Resident: $77

6/6-6/20 • M & W OR

6/7-6/21 • T & Th

TIME OPTIONS8:30AM, 9:35AM, 10:40AM

Registration Form

Please print legiblyC

hild’s N

ame_________________________Res. Photo ID

#___________Birthd

ate_______Male___Fem

ale____A

dd

ress_____________________________________City__________________State__________Zip______________

Phone (H)_____________W) ______________C

)________________e-mail___________________________________

Shirt Size (circle one) Youth: Sm(8) M

(10-12) Lg (14-16) or Ad

ult: Sm M

Lg XL XXL Is child

RH LH Please check one M

onday &

Wed

nesday, 6/6 to 6/20

Tuesday &

Thursday, 6/7 to 6/21

_____22430411, 8:30-9:30am, ages 8-15

_____22430422, 8:30-9:30am

, ages 8-15_____22430412, 9:35-10:35am

, ages 8-15 _____22430423, 9:35-10:35am

, ages 8-15_____22430413, 10:40-11:40am

, ages 8-15 _____22430424, 10:40-11:40am

, ages 8-15_____22430415, 8:30-9:30am

, ages 5-7

_____22430426, 8:30-9:30am, ages 5-7

_____22430416, 9:35-10:35am, ages 5-7

_____22430427, 9:35-10:35am

, ages 5-7_____22430417, 10:40-11:40am

, ages 5-7 _____22430428, 10:40-11:40pm

, ages 5-7

Note: First class for all sessionswill be held at the Englewood

Recreation Center, 1155 W Oxford Ave. Second class is held

at Colorado Journey Mini Golf, 5150 S. Windermere.

Ages

VISIT BROKENTEEGOLF.COM FOR MORE INFORMATION