Please fill out application, we will review it, contact your references and call you.  We usually return calls as soon as possible, please make sure you indicate the day and time that it is best for us to reach you below!

Name:  

Email:

Date: (12/12/12)

Address:
City:   State: Zip:
Home Phone:   Cell Phone:   Age: 
Best time/day to call:

Present Occupation:    
Personal Reference:Phone: 

Best time to call: 
Professional Reference:Phone:
Handicap:         Age you started golf:
Relevant medical/orthopedic history (strains, sprains, etc.):

Fitness & Golf Goals: 

Long term Golf Goals:

Golf injury/performance survey:
1. Ever been hurt while practicing/playing golf?  no   yes 
2. Ever had pain while playing golf? no   yes 
3. Any old injuries resurface while playing golf?  no   yes 
4. Ever been stiff or sore after playing golf?  no   yes 
5. Ever had to adjust swing, due to pain?  no   yes
6. How long have you been playing golf? 
7. What's your lowest handicap ever: 
8. Are you currently playing your best?  no   yes
9. Do you currently have any physical condition that
    would prohibit you from playing golf?  no   yes  
IF YES, please explain: 

10.Do you work out? no   yes
     Type of program:

11.  Any questions or suggestions you may like us to address when we call you?  Please include the best day and time to call you.

8 week Tour Player School:  

12 week Tour Player School:  

2 week Serious Amateur Golf Program:  

4 week Serious Amateur Golf Program:  

2 week High School/College Summer Program: 

4 week High School/College Summer Program: 

RELEASE:  I understand that Tour Program Golf (TPG)  is a school for those wishing to “work” on their golf games. The rules of TPG apply at all times and will be followed. I accept full responsibility for my actions and conduct. I release TPG, et.al. from all liability. A non-refundable deposit is required to hold your session. 

** Tour Program Golf (TPG) is held blameless for any injury occurring during applicants session.

Read and understood:   accept:      reject: 

**Once receiving your application and deposit, a Student Introductory Package will be mailed to you to prepare you for your time with us.