One-on-One Summer Golf Training Program

First name*

Last name*

Email*

Phone

Birthday

Month

Day

Year

Q1: Please Choose week(s) of participation: (Please Choose A-I)

A. June 2 - June 6

B. June 9 - June 13

C. June 16 -June 20

D. June 23 – June 26

E. June 30 – July 4

F. July 7 – July 11

G. July 14 – July 18

H. July 21 – July 25

I. July 28 – Aug 1

Q2. Please choose Golf Training time slot(s):

A. 8am-10am

B. 10am-12pm

C. 1pm-3pm

Your golf Handicap, current ranking, major tournaments history: Current school name: Learning History (please indicate Coach name(s) and equipment used):

The Brilliant Mind LLC

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