PGA Private / Semi-Private / Adult Group Lesson Pack Registration Form - PGA Development Center

PGA Development Center - Waterfall - Single / 10 Pack / 20 Pack Private / Semi-Private / Group Class Registration Form. Coaches' info can be found at www.pgadevelopment.hk. Please contact us directly via 3526-0270 / WhatsApp 9137-8386 or info@pacificpinesports.com with any inquiries. Thank you!

www.pgadevelopment.hk
學生登記表 Private / Semi-Private / Group Class Registration Form

Note that the PGA Junior Group Class uses a different registration form. Thanks.
學生英文名字 Student's Given Name (English)*

First NameLast Name
中文名字 Chinese Name
學生的會員號碼 PGA Development Center - Waterfall Membership #
If you have a PGA Development Center - Waterfall Membership #, but do not know your #, please contact us at tel 3526-0270, WhatsApp 9137-8386, or info@pacificpinegolf.com with the member's name, HK ID to obtain the membership # to proceed. Thanks.
Today

DayMonthYear
Date
出生日期 Date of Birth*

DayMonthYear
Date
Age
性別 Gender*
香港身分証 HK ID
學校 School (if the student is 18 or below)
大學 University (if the student is a university student)
打球經驗 Golf Experience*
學生之前在哪裏學高爾夫球？Where did you or your child previously take golf lessons?
需要球桿嗎 Clubs required?*
*Note that Club Rental Fee is FREE for trial class and regular class students.
左撇還是右撇 Left- or Right-Handed?*
高爾夫球差點 Handicap, if any
Have you played at PGA Development Center - Waterfall before?*

YesNo
Where do you normally golf?*
課程語言 Preferred Lesson Language*

英文 English廣東話 Cantonese普通話 MandarinNo preference
Private, Semi-Private (maximum 2 people), or Group Preference:*

PrivateSemi-PrivateGroup
Private Lesson Preference:

1 Private Youth Lesson10 Private Youth Lesson Pack20 Private Youth Lesson Pack1 Private Adult Lesson10 Private Adult Lesson Pack20 Private Adult Lesson PackOther
Semi-Private Lesson Preference:

1 Semi-Private Youth Lesson10 Semi-Private Youth Lesson Pack20 Semi-Private Youth Lesson Pack1 Semi-Private Adult Lesson10 Semi-Private Adult Lesson Pack20 Semi-Private Adult Lesson PackOther
Name(s) of the person(s) you are planning to take the semi-private lesson with. Please also have the person(s) fill out a separate Registration Form. Thanks.
Group Lesson Preference:

10 Youth Group Lesson Pack6 Adult Group Lesson PackOther
Coach Preference(s)*
Please list as many preferences as possible or no preference. Thanks.
您的首選上課日期和時間 Preferred Day(s)/Time(s) for your private / semi-private / group (adult) lesson pack. If you want to take your class with a specific person, please also include the name(s) below. Please list out as many possible optional dates and times for your preferred private class. Please list out your preferred start date(s)/week(s). Thanks. (We will try our best to accommodate your request based on your available dates/times, but it's not guaranteed. Thanks.)
Would you be interested in participating in a Toptracer monthly or quarterly competition (with PRIZES)?*

YesNo
PGA FUN NIGHTS! We are planning for some social evenings for our customers in July and August on Thursdays, 7:30pm-9:30pm. If you are interested, please let us know which date(s) would work for you and we will notify you!

Thursday, July 13, 730-930pmThursday, July 20, 730-930pmThursday, July 27, 730-930pmThursday, August 3, 730-930pmThursday, August 10, 730-930pmThursday, August 17, 730-930pmThursday, August 24, 730-930pmThursday, August 31, 730-930pmNo, thank you.
Primary Contact Info

(If you are a parent of a minor, please put your info below)
Name*

First NameLast Name
Mobile #*
Email*
example@example.com
WeChat ID (if you are interested in our China programs)
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Guardian's Name (if student is under 18):
Guardian's Mobile # (if student is under 18):
People approved to pick up for student under 18
How did you hear about the PGA Development Center - Waterfall?*
Any particular program(s) you would like to learn about PGA Development Center - Waterfall, PGA Learning Centers - China, or ATP Tennis Center?*

Toptracer bay bookingAdult Private lessonAdult Group lessonYouth Private lessonYouth Group LessonPGA Junior Golf Camp (Fall, Winter, Easter/Spring, Summer)Ladies Golf ClinicPGA Golf Academy - Mission Hills ShenzhenPGA Development Center - Yinhu, ShenzhenPGA Development Center - Noble Merchant, ShenzhenPGA Golf Academy - Yalong Bay Golf Club in SanyaPGA Golf Academy - Shanghai, PGA Golf Club (Lanhai Golf Club)PGA Golf Academy - The Players Club, BeijingPGA Golf Academy - Three Miles Club, HaikouATP Official Development Center - Hong KongATP Official Development Center - BeijingFive-Star Basketball Academy - ChinaPacificPine Sports Basketball - Hong KongAC Milan Academy - ChinaNone, thank you.
Any other comments or questions?
Referral Code
Please type all referrals codes in CAPITAL LETTERS.
TERMS & CONDITIONS / PAYMENTS

All payments are non-refundable under any circumstances. Our team will contact you upon your submission to coordinate your private, semi-private, or group class and arrange for lesson pack payment. Please check-in at least 10 mins prior to the lesson. In case there are any amendments, a minimum of 2 days prior notice is required. Any late notice will be NOT be accepted.- For Severe Weather arrangements, please refer to our terms at www.pgadevelopment.hk/faq.
LIABILITY WAIVER
I affirm that the participant (Adult or "Child") has my consent to participate in any camp, trial lesson or program offered by PacificPine Sports Limited and/or PacificPine Golf Limited. I recognize and acknowledge that there are certain risks of physical injury to participants in these programs, and I agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that the registered participant or my minor child or I may sustain as a result of said participation. I understand that there is an element of risk inherent in sports, and as parent/legal guardian of the Child, I take full responsibility for his/her actions and physical condition. Furthermore, I understand that certain risks, dangers, and injuries due to things such as inclement weather, slipping, falling, exposure to infectious diseases, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defect, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to youth sports programs exist. Therefore, it is recognized that it is impossible for PacificPine Sports Limited and/or PacificPine Golf Limited to guarantee absolute safety. I release and agree to indemnify and hold harmless PacificPine Sports Limited and/or PacificPine Golf Limited and its representatives, volunteers, and agents from all claims or liability for loss, damages and/or injuries, to myself, the named Child and/or any third parties person or property, caused by and resulting from any causes whatsoever.

MEDICAL RELEASE
I hereby give full permission for any and all medical treatment necessary to be administered to me or the Child in the event of an accident, injury, sickness, etc., under the direction of PacificPine Sports Limited and/or PacificPine Golf Limited until such time as I may be contacted. I further give permission to the PacificPine Sports Limited and/or PacificPine Golf Limited staff to use and disclose the medical information provided on this form for purposes related to such medical treatment. The release is effective for the time during which my child or I could be participating in any of the camps or programs held at the PGA Development Center-Waterfall. I also hereby assume the responsibility for payment of such treatment.

PHOTOGRAPHY OR VIDEO TAKING

I acknowledge that photos and videos may be taken during the event for marketing activities and social media.

By selecting the following checkbox, I am indicating that I have read the above document, I understand it completely, and I agree to the policies, waiver, and release outlined above. This serves as my electronic signature.
We look forward to welcoming you at PGA Development Center - Waterfall!
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PGA Development Center - Waterfall - Single / 10 Pack / 20 Pack Private / Semi-Private / Group Class Registration Form. Coaches' info can be found at www.pgadevelopment.hk. Please contact us directly via 3526-0270 / WhatsApp 9137-8386 or info@pacificpinesports.com with any inquiries. Thank you!

學生登記表 Private / Semi-Private / Group Class Registration Form

Primary Contact Info

TERMS & CONDITIONS / PAYMENTS

We look forward to welcoming you at PGA Development Center - Waterfall!