2026 Fall Junior Academy Priority Placement Survey

2026 Fall Junior Academy Priority Placement Survey
JUNIOR INFOMATION
Junior’s Name:

First NameLast Name
Date of Birth:

MonthDayYear
Date
Grade for 2026-2027 School Year:
PNW Golf Academy Participation:
Current or Previous PNWGA Coach:
Sibling Placement Needed?
Sibling’s Name:
Matching Schedules Required?
PARENT INFOMATION
Parent/Guardian Name:

First NameLast Name
Email Address:
example@example.com
Mobile Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method:
EXPERIENCE & ABILITY
Course Experience:
Current Ability:
Notes: Experience & Ability
LOCATION & FREQUENCY
Location Preference:
Desired Frequency:
What should we do if your preferred choices are unavailable?
Flexibility Level:
Notes: Location & Frequency
ISSAQUAH AVAILABILITY
Select every Issaquah time that could consistently work for your junior from September-December.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Notes: Issaquah Availability
SEATTLE AVAILABILITY
Select every Seattle time that could consistently work for your junior from September-December.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Notes: Seattle Availability
REQUIRED ACKNOWLEDGMENTS
Acknowledgment of placement terms:
I understand that once my Junior’s academy placement is confirmed, I will be billed monthly for the duration of the program.
Should be Empty: