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Chris Smeal Golf School Registration Form:
(Please Print out this form by highlighting all text, then Print, choose selection)

Which Program do you want to join? (Please write down School Dates): _____________________________________

Players Name : _______________________________________ Age: _________ DOB:____________

What are your goals as a Golfer? (Include your short and long term goals) . ______________________________________________________
___________________________________________________________
___________________________________________________________
Have you taken lessons before? YES or NO
What is your current Average Score for 18 Holes?_________________
Have you played on a Golf Team Before? YES or NO
What Golf Course do you play most often?_______________________________
What School are you going to?____________________________________
Are you currently playing in Tournaments? YES or NO Which Events?________________
How did you hear about Chris Smeal Golf Schools?)_____________________________________________________________________
Parents Names : ____________________________
Street Address: ____________________________
City : _______________________________State:___________ Zip :_________
Country: (if different than US):_______________________
Phone #Home:______________Mobile:__________________
Email (Please Provide): ________________________________________

A Deposit of $250 is Required to Reserve a Spot in the Golf School. I will contact you as soon as the Golf School fills up.
If the school does not fill up I will return your check immediately. The Balance will be due three weeks prior to School.

Return completed form and Check Payable to Future Champions Golf to:
Chris Smeal Golf Schools
6151 Calle Mariselda #308 San Diego, CA 92124
Attn: Golf School Application

The Waiver of Liability/Emergency Treatment Form must be completed in order for your Player to participate .

Waiver of Liability I agree that the above child's participation in the Future Champions Golf Junior Program and the activities at Stadium Golf Center or elsewhere is without assumption of liability of any nature by Future Champions Golf or Stadium Golf Center, its Officers, Directors, Employees and Staff or other Volunteer Instructors, any golf course or driving range or any other facility where the program activities are conducted. I do hereby release and discharge the above mentioned individuals and entities from any and all claims my child may suffer or sustain, directly or indirectly, in connection with any such participation and activities.
Parent/Guardian Signature: ___________________Date:_______________

WWW.FUTURECHAMPIONSGOLF.COM

QUESTIONS PLEASE CONTACT
CHRIS SMEAL AT 619-339-2377 .