Registration - GOLF 4 LIFE

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Registration

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

Please either

Complete this online form, or
Download a PDF copy and print, complete it and bring to your lesson (or scan and email)

Online Registration Form

Personal

* Indicates required field

Your name *

First

Last

[object Object]

Phone *

Email *

Preferred venue *

Golf Paradise Driving Range, Terrey Hills Par 3 Golf Course, Terrey Hills

Today's date *

Your date of birth *

Golf

Are you a ... *

New golfer Social golfer Regular golfer

Have you ever had a golf lesson before? *

Yes No

Handicap *

Lowest handicap *

How long have you been playing golf? *

How often do you play golf? *

What is your goal for golf? *

What would you like help with? *

Health and Body

Do you play golf right or left-handed? *

Right Left

Which hand do you write with? *

Right Left

Do you wear orthotics? *

Yes No

Have you/do you play any other sports? *

Please note what other sport/s if applicable

Do you have any other hobbies? *

Do you wear multifocal glasses? *

Yes No

Do you have any eyesight problems? *

Yes No

Do you have any hearing problems? *

Yes No

Do you have any of the following? *

Asthma Diabetes Epilepsy High blood pressure Low blood pressure Arthritis Scoliosis

Tick all that apply

Do you have any special requirements? *

Do you have any allergies? *

Are you recovering from any recent injuries, or major surgery *

Communication

My communication preference is: *

Phone call Text message Email Any of the above

Would you like to subscribe to Golf4Life's e-newsletter? *

Yes please No thanks

Do you use social media? *

Yes No Twitter Facebook Instagram

Tick all that apply

How did you hear about Golf4Life? *

Friend/family recommendation Previous client Golf4Life's website Facebook Instagram Google, or other search engine Other

Optional: Any additional comments welcome *

Submit

Please remember bookings are essential

Book online at either of Simon's locations,
or call Simon on 0414 913 000

Golf Paradise Driving Range

Terrey Hills Par 3 Course

Online gift cards are also available here

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Simon Deep 0414 913 000

Lisa Deep 0417 485 635

Golf 4 Life © 2021
Website by Peekaboo Creations

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