Please fill out the following questionnaire
Click the SAVE button below when you're done.
Please use the TAB key to advance to the next field.
This site uses pop-ups.
Please turn off your pop-up blocking software before continuing.
If using Internet Explorer: Click on Tools, Pop-up Blocker, and Turn off pop-up blocker.

Please be sure to fill out all required fields:
First Name, Last Name, Select School, H.S. Grad Year (e.g. 2014)

 

Personal Information
 
 
 First  Middle  Last
Your Name:
Preferred Name:
Street Address:
City:
State / Zip:
 
 Month  Day  Year
Date of Birth:
Email Address:
Home Phone:
Cell Phone:
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Email:
Father's First Name:
Father's Last Name:
Father's Email:
 

Academic Information
 
Please use the SELECT SCHOOL Button to choose your school.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Phone #:
School Fax #:
Graduation Year:
GPA:
SAT Test Date:
SAT Score:
ACT Test Date:
ACT Score:
Anticipated Major:
 

HS Athletic Info
 
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Coach's Cell #:
 

Athletic Stats
 
Height:
Your Strengths as a Golfer:
Areas Where You Can Improve:
Average Score (9 Holes):
Average Score (18 Holes):
 

Tournament Info
 
Tournament 1:
Date(s):
Score:

Tournament 2:
Date(s):
Score:

Tournament 3:
Date(s):
Score:

Tournament 4:
Date(s):
Score:
Tournament 5:
Date(s):
Score:

Tournament 6:
Date(s):
Score:

Tournament 7:
Date(s):
Score:

Tournament 8:
Date(s):
Score:
 

When you have completed this questionnaire please click the save button.