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First Name:
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Last Name:
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Email Address:
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Phone:
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How many rounds of golf do you play each year?:
*
Never
1-5
6-10
11-20
Over 20
Please indicate your skill level.:
*
Beginner
Intermediate
Advanced
Please indicate your primary reason for taking lessons.:
*
Refresher Course
Golf History
Theory
Physical Activity
Improve Technique
Skill Maintenance
Which days of the week work best for taking lessons?:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Comments or Questions:
*