Winter Lesson Programs:
Choose one of the following... 1 Lesson 3 Lessons 5 Lessons 10 Lessons 20 Lessons

Lesson Type:
Choose one of the following... Private ( 1 person ) Semi-Private ( 2 people ) Group ( 3 or 4 people )

Suggested date(s) and time(s) for the lesson(s):


Name (First Last): *


Home Phone Number: *


Cell Phone Number:


Work Phone Number:


Preferred email address for lesson booking confirmations/cancellations: *


How did you hear about Real Swing Golf: (examples: web search, yellow pages, referred by friends, etc...)


How many years golfing:


Have you had formal instruction: Yes No


If yes, please specify:


What are your goals for your golf game: (examples: straighten out my drives, break 100, etc...)


Do you have any golf related health concerns: Yes No


If yes, please specify: (examples: bad back, injuries, arthritic hands, etc...)


(The information below gives our instructors information to relate teaching concepts to experiences you are familiar with in your work and recreational life)

Job Title:


Company:


Hobbies and activities: