Permission Form - Chambers Bay Solstice - First Tee

This permission form is for youth volunteers of the Chambers Bay Solstice who will be lodging in Tacoma overnight from June 22-24.

Lodging is reserved via Airbnb at a house approximately 10 minutes from Chambers Bay Golf Course. (House address: 1615 South Mason Avenue Main House, Tacoma, WA 98405).

House rules: no alcohol, substances, or guests allowed. Must be respectful of the property and neighbors. House will be kept tidy and left in the condition requested by the owner.

Two adult staff members of First Tee – Greater Seattle will serve as chaperones and supervisors of the house, and will each have reserved bedrooms.

Please have one parent or guardian of each youth complete the form below.

Thank you for your support for this event!

Permission Form - CBS 2024

Parent/Guardian information
Parent/Guardian Name*
First Last
Phone*
Email*
Emergency/Medical Information
Emergency Contact Name
(If different than parent/guardian above)
First Last
Emergency Contact Phone*
Medical Needs
Are there any medical conditions or allergies we should be aware of?
Physician or Doctor Name
First Last
Physician or Doctor Phone*
Physician or Doctor Hospital
Participant Information
Participant Name #1*
First Last
Participant Name #2
First Last
Parent/Guardian Permission
General Waiver
I, the parent/legal guardian of the above named youth, give approval for participation in First Tee sponsored activities. I assume all risks of injury whatsoever and agree to defend, indemnify and hold harmless First Tee Chapter and Headquarters Office from claim(s) of any nature arising from any activity, including transportation or lodging, connected with First Tee facility or program. This hold harmless agreement includes, but is not limited to, any claim due to injury proximately resulting from negligence of First Tee Chapter or Headquarters Office, its directors, employees, agents, LPGA and PGA Professionals, participating agencies, and volunteers. I consent to The First Tee Chapter and Headquarters Office communicating information regarding my child’s participation via the internet.

Medical Release
In the event that I cannot be reached in an emergency, I hereby authorize and consent to all medical, surgical and hospital care, treatment and procedures to be performed on or for my child named above by a licensed physician or hospital when deemed necessary or advisable by the physician to safeguard my child’s health. I understand that consent to treat is implied in emergency situations, and I waive my right to informed consent to such treatment as well as further treatment that the physician would deem advisable during the time I cannot be reached to participate in such treatment decisions.
I assume all risks of injury whatsoever and agree to defend, indemnify and hold harmless First Tee Chapter and Headquarters Office from claim(s) of any nature arising from any activity, including transportation or lodging, connected with First Tee facility or program. This hold harmless agreement includes, but is not limited to, any claim due to injury proximately resulting from negligence of the First Tee Chapter or Headquarters Office, its directors, employees, agents, LPGA and PGA Professionals, participating agencies, and volunteers.
Media Release
I hereby give First Tee - Greater Seattle, its Headquarters Office and participating agencies my permission to use film, videotape and/or photographs of the above mentioned minor for lawful promotional or informational purposes.
Parent/Guardian Initials

I hereby agree and would like to participate in The First Tee program.
Today's Date
MM slash DD slash YYYY
Comments or Questions
Comments or Questions
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Permission Form - CBS 2024

Parent/Guardian information

Emergency/Medical Information

Participant Information

Parent/Guardian Permission

Comments or Questions