Registration

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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.

Adult Registration
Junior Registration

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

Adult Registration Form

Personal

* Indicates required field

Your name *

First

Last

[object Object]

Phone *

Date of birth *

Email *

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

I understand that the personal information collected on this form is used for the purpose of processing my request for participation in Golf4Life golf coaching/programs and that all information gathered is kept under the strictest of confidence and not provided to any other party *

Yes No

Today's date *

I give my consent to Golf4Life to use my name and image (including photography) use in print or online marketing and promotional activities. *

Yes No

Optional: Any additional comments welcome *

Submit

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

Junior Registration Form

Participant

* Indicates required field

Participant's name *

First

Last

[object Object]

Participant's Date of Birth *

Parent/Guardian

Parent/Guardian's Name *

First

Last

Relationship to participant *

Phone *

Email *

Mailing address *

Golf

Has the participant played golf before? *

Yes No

Has the participant ever had a golf lesson? *

Yes No

What is your participant's goal for golf? *

Does the participant have a Golf Link number? If yes, please note the number *

Health and Body

Which hand does the participant write with? *

Right Left

Does the participant take any regular medication? If yes, please note name and dosage. *

Does the participant wear glasses? *

Yes No

Does the participant have any of the following: *

Asthma Diabetes Epilepsy Scoliosis Dizzy spells Travel sickness Migraines/headaches

Tick all that apply

Does the participant have any hearing problems? *

Yes No

Does the participant have any special requirements? *

Does the participant have any allergies? If yes, please advise: *

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 Facebook Instagram Twitter

Tick all that apply

How did you hear about Golf4Life? *

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

Consent

I understand that the personal information collected on this form is used for the purpose of processing my request for my child's participation in the Golf4Life Junior Golf Program, and that all information gathered is kept under the strictest of confidence and not provided to any other party. *

Yes No

I hereby authorise G4L to make such arrangements as deemed necessary by the attending medical practitioner In the event of emergency medical treatment being necessary in respect of my child. *

Yes No

I give my consent to Golf4Life to use my child's name and image (including photography) use in print or online marketing and promotional activities. *

Yes No

Optional: Any additional comments welcome *

Today's date *

Submit

Please remember bookings are essential
Book online at your preferred location below,
or call Lisa on 0417 485 635

BOOK NOW

Online gift cards are also available here

Simon Deep 0414 913 000

Lisa Deep 0417 485 635

Registration

Adult Registration Form​

Personal

Golf

Health and Body

Communication

Junior Registration Form​

Participant

Parent/Guardian

Golf

Health and Body

Communication

Consent

Please remember bookings are essential​Book online at your preferred location below,or call ​Lisa on 0417 485 635

Online gift cards are also available here

Adult Registration Form

Junior Registration Form

Please remember bookings are essential
Book online at your preferred location below,
or call Lisa on 0417 485 635