Canadian Golf Academy Program Registration Form

Once you submit your completed registration form,
we will contact you with additional information and to arrange payment.

Questions? Call us at 1-888-698-4653

First Name:*
Last Name:*
Address:
City:		Prov/State:
Postal/Zip:		Country:
Tel (home):*		Tel (work):
Fax:
Email:*

Hand:	Left Right
Years Played:		Handicap:
Is Equipment Needed?	Yes No
What type of equipment do you currently have?

Any injuries affecting performance?
Estimated practice hours per week:
Previous Lessons?	Yes No	How Many?
Have you ever attended the Canadian Golf Academy before?			Yes No
If yes, which program(s)?

Preferred booking date:
Alternate booking date:
Second Alternate booking date:

If you are registering for the Junior Camp, please tell us the age of the Junior Player:

Age: