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Adaptive Golf
Please use this form to sign up for one of our Adaptive Golf Clinics.
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* Indicates required question
First and Last Name
*
Your answer
Email
Your answer
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Can you receive text message reminders at the phone number listed above ?
*
Yes
No
Date of Birth (needed for federal grant reporting purposes only)
*
MM
/
DD
/
YYYY
Which Adaptive Golf Clinic are you registering to attend?
*
Wednesday, May 29th; 10:30am -12 pm at Fern Hill Golf Course
Tuesday, June 4th; 9 am - 12 pm at Red Oaks Golf Course
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