The Golf Shaq Registration and Consent

Online Registration and Consent Form

Complete and submit the below details to generate your GolfShaq registration and consent form

* Name: * Date of Birth:
* Address: * Daytime Telephone Number:

   Mobile Telephone Number:

* Postcode: Occupation:
* Email Address:
Send a copy of the form to your email address?:

Emergency Contact Details

* Name: * Telephone Number:
Any Specific medical conditions requiring medical treatment?:
Any Specific medical condition or disability?:

Consent Information

I give my consent that while on the private premises of The Golf Shaq, I accept total liability for any injury or accident that may occur. The Golf Shaq will not be held responsible for any injury or damages to person nor personal property:
I give consent to any filming or photography that may take place during the sessions with The Golf Shaq & PGA Professionals. Any such material may be used in the promotion of The Golf Shaq and the services that The Golf Shaq offers through various publications such as social media platforms.

Coaching Consent
Are you a member of a golf club?
Do you have a handicap?
WHS ID:
What is the strongest part of your game and why?
What is the weakest part of your game and why?
What made you choose The Golf Shaq?
Describe what you do to prepare before a competition round?
On average - How much time do spend practicing per week? Long Game:
Short Game:
Putting:

On average - How much time do spend playing per week?
Important: Prior to your first appointment, please visit the FSX Live website to create a profile ready for your first session.
Make sure you remember your username and password for access to your records and statistics.
FSX Live Username Password

Signature: Date:

Get In Touch

The Golf Shaq
P.G.A. Professional Services
By Appointment Only