Tracey Thacker, Junior Program Coordinator/LGC Front Office Manager
Please fill out one form for each child you are registering. Before you begin please be sure to have all * Required Field information at your fingertips.
Yes (child or grandchild) No Relationship: If you are sponsored, who is the sponsoring Member:
* Application for Sponsored Participants can be made at this time along with those for Regular Member children (sons, daughters, and grandchildren of Regular Members). 'Sponsored Children's' Participation in Junior Programs however will be subject to available class space and any regulations which may be instituted prior to the beginning of the Summer Season. Each Sponsored Child's applicant will be contacted prior to the start of Junior Classes in June.
Registration is not complete until a Health Form and a Medical Authorization Form are both submitted and on file with Club staff. It will be of great help, and speed up a child’s first day, if the information for the forms is completed and submitted with the above registration. Thank you.
Print this form now, sign it, have a witness sign, and submit it to Tracey Thacker, Junior Program Coordinator/LGC Front Office Manager at lgctracey@yahoo.com, by fax at 518-668-3863, or by sending it to PO Box 175, Diamond Point, NY 12824. It must be on file before your child attends a class.
* indicates Required Field