Registration

Prior to commencing your first lesson with Simon, we ask that you please take a few minutes to complete the form below, as the details you provide will help Simon plan your lesson and help you reach your golfing goal.

Online Registration Form

New clients are requested to complete this form. Returning clients do not need to complete it again.

About you

* Indicates required field

Your name: *

First

Last

Your date of birth: *

Phone *

Do you have any current injuries? *

Have you had any short term, or previous injuries? *

Have you had any recent surgery? *

Email: *

Please list any other sports or exercise you might do *

Do you wear orthotics? *

Do you wear glasses? *

Golf

Have you played golf before? *

If yes, how long have you been playing for? *

How often do you play golf? *

Do you play golf right or left-handed, as golf clubs can be supplied for lessons on request? *

Right-handed Left-handed Clubs required for lessons, please I have my own set of clubs

Are you a member of a Golf Club? If so, which club? *

Have you had a golf lesson before? *

What's your short term goals for improvement? (Eg, become more consistent, lower your scores, or improve a particular part of your game): *

How much time can you spend on your golf game (not including your game play) *

How would you rank your game out of 10? *

Handicap: *

How would you rate your game?

Please give yourself a rank out of 10 for the following:

Putting: *

Chipping: *

Bunkers: *

Pitching: *

Short irons: *

Long irons/hybrids: *

Fairway woods: *

Driver: *

Game mangement: *

Other information

Have you ever had your golf clubs fitted? *

What golf ball do you tend to play with? *

Do you usually play at the same time of day? *

Do you usually play with the same person, or group of people? *

How many hours a week are you able to work on your game? *

Optional: Any additional comments welcome: *

Submit

Please remember bookings are essential

Book online, or call Simon on 0414 913 000

BOOK ONLINE

Registration - Simon Deep

Online Registration Form

About you

Golf

How would you rate your game?

Other information

Please remember bookings are essential

Book online, or call Simon on 0414 913 000

Online gift cards are also available here

Registration - Simon Deep

Online Registration Form

About you

Golf

How would you rate your game?

Other information

Please remember bookings are essential

Book online, ​or call ​Simon on 0414 913 000

Online gift cards are also available here

Book online, or call Simon on 0414 913 000