Name*:		
		Email*:		
		* Required Fields
		
		Add me to the Pro Shop’s email database 
		
		Personal Information:
		 Male
		 Female
		Age Group: 		
		Age Group
		Under 30						
		30 – 39 					
		40 – 49 							
		50 - 59					
		60 – 70 						
		Over 70					
										
		Membership Type: 		
		Membership Type
		Social						
		Single Golf 					
		Family Golf 							
		Out of Town					
		Out of State 						
		Junior Golf					
										
		Birth Month: 	
		Month	
		Jan						
		Feb 					
		Mar 							
		Apr					
		May 						
		Jun					
		Jul						
		Aug 					
		Sep 							
		Oct					
		
		Nov 						
		Dec					
										
		Birth Date:  
		Date		
		1						
		2 					
		3 							
		4					
		5 						
		6					
		7						
		8 					
		9 							
		10					
		11 						
		12					
		1	3					
		14 					
		15						
		16					
		17 						
		18					
		19						
		20 					
		21 							
		22					
		23 						
		24					
		25					
		26						
		27 					
		28 							
		29					
		30 						
		31					
										
		Anniversary Month: 
		Month		
		Jan						
		Feb 					
		Mar 							
		Apr					
		May 						
		Jun					
		Jul						
		Aug 					
		Sep 							
		Oct					
		Nov 						
		Dec					
										
		Anniversary Date:  
		Date		
		1						
		2 					
		3 							
		4					
		5 						
		6					
		7						
		8 					
		9 							
		10					
		11 						
		12					
		1	3					
		14 					
		15						
		16					
		17 						
		18					
		19						
		20 					
		21 							
		22					
		23 						
		24					
		25					
		26						
		27 					
		28 							
		29					
		30 						
		31					
										
		How many children: 
		Children		
		1						
		2 					
		3 							
		4					
		5 						
		6					
		7						
		8 					
		9 							
		10					
										
		
		Golf Interests?
		 Open Play	 Tournament Play  Men’s Division
		 Couple's Events  18 Hole Ladies  9 Hole Ladies
		 Junior Golf  Family Events
		
		Pro Shop Interests?
		 Private Lessons  Group Lessons  Practice Facility
		 Club Storage  Shoe Care  Cart Rentals
		 Apparel  Golf Equipment
		
		What is your….
		Shirt Size? 		
		Size 
		S						
		M					
		L							
		XL					
		XXL						
		XXXL					
										
		Shoe Size?  
		Size 
		6							
		6.5				
		7				
		7.5				
		8				
		8.5				
		9				
		9.5
		10
		10.5
		11
		11.5
		12
		13
		
		Pant Size?         Men 
		Size 
		30
		32
		34
		
		36
		38
		40
		42
		44
		
		                 Women 
		Size 
		4
		6
		8
		10
		12
		14
		16
		
		
		What are you favorite colors for clothing?
		 Black  White  Blue
		 Brown  Red  Green
		 Yellow  Pink  Tan
		
		Other Colors:
		
		
		In addition to my favorite colors, I also like:
		 Solids  Vertical Stripes  Horizontal Stripes
		 Prints  Basic Cotton  Mercerized Cotton
		 Performance Fabrics  Sleeveless Shirts  Vests
		 Sweaters  Sweatshirts  Fleece
		 Full Zip Jackets  Pullover Jackets  Goretex Fabrics
		 Cotton Shorts  Microfiber Shorts  Pedal Pushers 
		 Capri Pants  Cotton Slacks  Microfiber Slacks 
		
		Comments: