Player Name *

First Name

Last Name

Gender *

Male

Female

Prefer not to say

Date of Birth *

MM

DD

YYYY

Parent Name *

First Name

Last Name

Parent Phone *

(###)

###

####

What are your three biggest STRENGTHS in your golf game? *

Controlling emotions

Tee shots

Long Irons

Short irons

Wedge/approach game

Sand shots

Short game

Long putts (15'+ feet)

Medium putts (6-12' putts)

Short putts (<5' putts)

Rules & Etiquette

Course strategy

What are your three biggest WEAKNESSES in your golf game? *

These should be different than your strengths...

Controlling emotions

Tee shots

Long irons

Short irons

Wedge/approach game

Sand shots

Long putts (15'+)

Medium putts (6-12' putts)

Short putts (<5' putts)

Rules & Etiquette

Course strategy

How many hours can you commit to improving your golf game? *

2-4/week

5-6/week

7-8/week

9+/week

Do you consider yourself coachable and open to changes? *

I do things my way

I listen to advice but rarely implement new ideas

I try to implement new ideas but can struggle with follow through

I'm coachable - I do everything I can to implement change

What days and times are you available to come to practices? *

Mon | 5:15-6:45 PM

Wed | 5:15-6:45 PM

Thu | 5:15-6:45 PM

Fri | 5:15-6:45 PM