Course Registration Form

365 Golf Academy Registration Form

Fill out the form carefully for registration
Member Name

First NameMiddle NameLast Name
Birth Date

DayMonthYear
Gender
Address

Street Address

Street Address Line 2

CityCountry

Post Code
Member E-mail Address

Confirmation Emailexample@example.com
Phone Number
Tell us about your golfing ability (for example) handicap, years playing, problems you may have with your game
How did you hear about 365 Golf Academy?
What would you like to gain from your membership?
My Products*
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Silver Monthly 365 Golf Academy Membership
This membership entitles you to attend up to 3 sessions each month.

£24.00 for each month



Gold Monthly 365 Golf Academy Membership
This membership entitles you to attend up to 6 sessions each month

£29.00 for each month



Platinum Monthly 365 Golf Academy Membership
This membership entitles you to attend up to 9 sessions each month + an individual 60 minute Golf Lesson

£49.00 for each month
Should be Empty:

365 Golf Academy Registration Form