Junior Golf Camp | Jun 8-12, 2025 | White Eagle Golf Course

We (or I) request that you accept the application for enrollment of the student named above in the John Means Golf Junior Camp during the dates
set forth in this application, and in consideration of your acceptance of the application, we will (or I) (whether one or more) hereby release the
Board of Regents of the University of Wisconsin/River Falls, John Means Golf Camps and Schools, and White Eagle Golf Course, and Heritage
Links GC and all of its employees for all claims on account of any injuries which may be sustained by our (or my) son/daughter while
attending the Minnesota Golf Junior Camp, and we (or I) agree to indemnify the Board of Regents of the University of Wisconsin/River Falls,
John Means Golf Camps and Schools, and White Eagle Golf Course. And Heritage Links GC and all of its employees for any claim which may
hereafter be presented by our (or my) son/daughter as a result of any such injuries. If medical attention is required for injury or
illness while in the camp, I give my permission for such medical care. We (or I) also grant permission for the John Means Junior Golf Camp to
use photographs of our son/daughter for publicity, advertising, or other commercial purposes.

I have had a doctor sign and date the medical certification form indicating the student named above is physically fit to participate in an active golf camp.