Free Golf Training Application

Parent/Guardian Name *

First

Last

Address *

Street Address / City / State / Zip Code

Phone Number *

Email *

Child Name *

First

Last

Age *

Gender *

Female
Male

Grade Level *

Dominant Hand *

Left Handed
Right Handed

I, parent/guardian, is currently receiving government assistance. *

Yes, I am currently receiving government assistance.
No, I am not currently receiving government asssistance.

Is the child under foster care? *

Yes, the child is under foster care.
No, the child is NOT under foster care.

OPTIONAL: Comments

I, parent/guardian, understand this is a free program for underprivileged Kids. There are no fees charged for this program. Parents are responsible for getting the child to the free training program. *

I, parent/guardian, understand this is a free program for underprivileged Kids. There are no fees charged for this program. Parents are responsible for getting the child to the free training program.