Teen Golf - Girls (Tasmania) Question Title * 1. Which 6 week program are you registering to participate in? Royal Hobart Golf Club. (First session, Saturday 19th October at 3pm) Ulverstone Golf Club. (First session, Sunday 10th November at 11am) Question Title * 2. Personal Details First Name Surname Date of birth Home Address Post Code School name Year Level of Student (grade 6, 7, 8, 9 or 10) Right / Left Handed Question Title * 3. Please state any medical conditions Question Title * 4. Parent Guardian Information Parents/Guardian Name Parents/Guardian Email Parents/Guardian Phone Number Question Title * 5. Level of golf experience No experience (first time playing) Intermediate experience (played golf a few times) Advanced level (regular player) Question Title * 6. Have you formed a team? If yes, please list your team members Yes / No Player #2 Player #3 Player #4 Question Title * 7. Would you like us to allocate you into a team? Yes No Question Title * 8. I consent to Golf Australia using my child’s name and image (including photography) in any form or medium for general marketing and promotional activities. Yes No Question Title * 9. I understand that the personal information collected on this form is used for the purpose of processing my request for participation in the this program. Golf Australia may also use this information to send you golf related information or offers. Yes No Question Title * 10. I hereby authorise the nominated representative to make such arrangements as are deemed necessary by the attending medical practitioner In the event of emergency medical treatment being necessary In respect of my child. Yes No Done