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Confirmed Site Report

Hook A Kid On Golf Confirmed Site Report

   

Coordinator Information

   
First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
Fax
Email
Coordinator Shirt Size:
   

Site Information

   
Facility Name
Head Instructor
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
Fax
Email
   

Program Information

 
   

*You will need to submit separate Confirmed Site Reports if the Site Information differs among your programs

   
Start Date
Estimated number of participants

Select One
Tee Level Clinic
Green Level Training Program
Challenge Golf League

   
   
Start Date
Estimated number of participants

Select One
Tee Level Clinic
Green Level Training Program
Challenge Golf League

   
Start Date
Estimated number of participants

Select One
Tee Level Clinic
Green Level Training Program
Challenge Golf League

   
Start Date
Estimated number of participants

Select One
Tee Level Clinic
Green Level Training Program
Challenge Golf League

   
Start Date
Estimated number of participants

Select One
Tee Level Clinic
Green Level Training Program
Challenge Golf League

   
Start Date
Estimated number of participants

Select One
Tee Level Clinic
Green Level Training Program
Challenge Golf League

   
I intend on applying for a USGA Matching Grant through the Hook A Kid On Golf National office
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By submitting this form, I agree to abide by the terms outlined in the Hook A Kid On Golf Coordinator Contract. The Contract can be viewed here:
   
 
   
 
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National Alliance for Youth Sports
2050 Vista Parkway
West Palm Beach, FL 33411
(800) 688-KIDS (5437)
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