Perfectstroke / ITAGC Program Application Form

Personal Information

* mandatory field

Family Name:

*

Given Names:

*

Nationality:

Birth Date:

/ /

Postal Address:

Home Phone:

Business Phone :

Email:

*


Family Member Contact If Under 21

Name:

Relationship:

Home Phone:

Business Phone :


Interested In Attending PGA For:

Please choose one:

Weeks

Months

Do you speak english?

Interpreter Required?


Golf Information

How long have you played golf?

Handicap:

Average Score:

Best Score:

Have you had lessons or attended an academy or school before?

If "Yes" where?

Are you left handed or right handed?

Left Handed Right Handed

Any injuries or physical disabilities?

If "Yes" please declare


Do you like to play or practice?

Play

Practice


Accomodation Information

Do you require homestay?

Hotel/Motel

Apartment

Will Arrange Own

How are you travelling?

Alone

With Another Person

Part of a group

Is Airport pickup required?