Register — Topgolf Experience | Crossroads: Pathways to Success

Saturday, September 19 · 11:30 AM – 2:30 PM
Students return to Topgolf Greensboro for an afternoon of golf, leadership, and future-focused learning — including a session on the fundamentals of AI with Ronnie Bailey. Golf instruction, lunch, and guest speakers included. Complete the form below to reserve your student's spot.

Student Information

The young person attending the Topgolf Experience.

Student's Full Name *

Grade in Fall *

School

T-Shirt Size

Parent / Guardian

We'll send confirmation and day-of details to this contact.

Parent / Guardian Name *

Relationship to Student

Email *

Mobile Phone *

Emergency Contact — Name & Phone *

Health & Logistics

Lunch is provided. Tell us anything we need to plan for.

Food allergies or dietary restrictions

Medical conditions or accommodations we should know about

Permissions

Required before your student can participate.

Participation waiver * I am the parent or legal guardian of the student named above. I give permission for my student to participate in the Crossroads Topgolf Experience and release Crossroads: Pathways to Success, Inc., its staff, and volunteers from liability for ordinary risks associated with participation. Emergency medical consent * In the event of an emergency and if I cannot be reached, I authorize Crossroads staff to seek emergency medical treatment for my student. Photo & video release (optional) I consent to photographs and video of my student being used in Crossroads promotional and program materials.

Type your full name as an electronic signature *

Information collected is used only to run this program and is not shared or sold.