All information on the Application, Parental Authorization and Medical Physicians Approval forms MUST be completed in order to guarantee a place in the camp. 

fill out and send it to us at;

CEC Business Services
Purdue University
Stewart Center, Room 110
128 Memorial Mall
West Lafayette, IN. 47907-2034
Fax (765) 494-0567

Coaches Golf School
Parental Authorization Form 

Please review the information below. Print out this form along with the Application form,  fill out and send it to us. All information on this form MUST be competed in order to guarantee a place in the camp.

Purdue University Medical Authorization for Treatment of a Minor (persons under the age of 18 years). Pursuant to Indiana Code Paragraph 16-36-1-6,1 I request and authorize the Purdue University Student Health Center, Purdue University Ambulance Service, Home Hospital, and St. Elizabeth Hospital medical personnel, agents, and employees to provide all resonably necessary medical care advisable for the health of my child, including but not limited to medical transport, hospital tests, such as pathology, radiology, anesthesia, evaluation and treatment by physicians, including surgery, and prescription drugs, I acknowledge that no representations, warranties, or guarantees can be made with respect to any medical care or treatment provided.

I also understand that, as a result of my child's participation in this program, it will be necessary for supervisors, coaches, residence hall personnel, and others involved with the program to have access to relevant medical information pertaining to my child, and I authorize the use and disclosure of my child's medical information to promote a safe and healthy experience for my child.