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CITY OF PHILADELPHIA

In Conjunction TEE IT UP WITH


With
Michael A. Nutter
Mayor

PARKS & RECREATION DEPARTMENT

Michael DiBerardinis, THE


Parks and Recreation Commissioner
Susan Slawson, Commissioner
Leo Dignam, Deputy Commissioner
PHILADELPHIA
Terri Kerwawich, Program Director
Stuart Greenberg, Program Director
DEPARTMENT OF
Michael Grubb, Athletic Program Coordinator
Jim Marino, Golf Camp Administrator
PARKS &
George Geiss, Golf Camp Director RECREATION
BURHOLME DRIVING RANGE
401 COTTMAN AVENUE

UMBRIA STREET GOLF CENTER


7200 UMBRIA STREET 2010 Golf Camp
COBBS CREEK GOLF COURSE
72ND AND LANSDOWNE AVENUE

It is the policy of the Parks & Recreation Department


not to discriminate against anyone on the basis of race,
color, sex, religion, national origin, ancestry or
handicap.

The Philadelphia Recreation Dept. Golf Programs


have been supported by the Philadelphia section of
the Professional Golf Association, The United States
Golf Association, The Tiger Woods Foundation and
the Golf Association of Philadelphia. National
Recreation & Park Association - Sticks for Kids
Program and numerous other generous supporters.
limited to falls, contact with other participants,
A) Philosophy: heat and humidity, and conditions of fields, all
To teach basic skills 2010 Golf Camp – Boys and Girls such risks being known and appreciated by me. I
To teach rules and etiquette Ages 11 through 15 hereby release the City of Philadelphia,
Learn different types of scoring Department of Recreation, all sponsors, agents,
NAME
volunteers, and anyone acting on their behalf for
B) Professional Golf Instruction: any and all claims of liability.
Local Golf Professionals provided by the PGA ADDRESS
Philadelphia Section, will come on Occasion to
conduct the clinics at the driving range. Parent/Guardian Signature Date
CITY STATE ZIP CODE
Staff will include Local College players and
High School players. Parent’s E-Mail:
12 hours of lessons. PHONE NUMBER

C) Competitive Games: EMERGENCY CONTACT Which encampment would you prefer? Put
Every Thursday & Friday campers will play 9
holes of golf at a local public golf course the number 1 next to your first preference of
Miniature golf will also be offered at the EMERGENCY PHONE the week you would like to attend. Put the
Burholme and Umbria Street Range sessions. number 2 next to your second preference of
BIRTH DATE / / the week you would like to attend.
D) Training Sessions Please denote a 2nd choice in case your first
(Must be 11 by July 6, 2010)
Training sessions will be conducted the first two choice is filled. (Participants may only attend one
weeks at Burholme Driving Range & John F. Has your child ever participated in The Department of encampment per year, unless spots are available)
Byrne Golf Course. The third and fourth week Recreation Golf Camp Program? If so, please indicate how
will be at Umbria Street Golf Center & Walnut many years and sites attended.
Sessions 1and 2:
Lane Golf Course. The following week will be
No, first time attending
held at Cobbs Creek Golf Course/Karakung Golf
Course. Burholme Driving Range
Yes, attended in previous years. 401 West Cottman Avenue
E) Rain Policy
In case of rain, call 215-683-3686, after 7:30 Year(s) attended Week 1
a.m. and press #2 to see if camp will be July 6 to July 9 9:30 a.m. to 2:00 p.m. (4 days)
cancelled on that day. Rain days will not be
Site(s) attended Week 2
rescheduled. NO REFUNDS OF ANY KIND.
__ July 12 to July 16 9:30 a.m. to 2:00 p.m.
Return To:
Golf Camp 2010
ALL GOLF EQUIPMENT WILL BE PROVIDED. Sessions 3 and 4:
Week One – Fee is $55.00 – Four Day Encampment
Philadelphia Recreation Department Fees: $60.00 per week. (Checks or Money Orders Only)
1515 Arch Street, 10th Floor Umbria Street Golf Center
Payable to:
Philadelphia, PA 19102
City of Philadelphia-Sports & Athletics
7200 Umbria Street
NO REFUNDS OF ANY KIND.
Camp fills quickly, mail back A.S.A.P Waiver Week 3
July 19 to July 23 9:30 a.m. to 2:00 p.m.
Questions: 215-683-3686 Campers should have a recent medical
examination certifying that his/her physical activity
need not be limited. Campers assume any and all Week 4
July 26 to July 30 9:30 a.m. to 2:00 p.m.
risks associated with the activity including, but not
Session 5:

Cobbs Creek Driving Range


72nd St. and Lansdowne Ave.

Week 5
________ Aug.2 to Aug.6 9:30 a.m. to 2:00 p.m.

T-shirt Size

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