Player Information
First Name Last Name
Street Address
Town / City State / Province:
AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NV NM NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
Postal / Zip Code
Home Phone Number Cell Phone Number
Email Address Date of Birth (Month/Date/Year)
Player Family Information
Father's First Name Father's Last Name
Father's Email Address Father's Cell Phone
Mother's First Name Mother's Last Name
Mother's Email Address Mother's Cell Phone
School Information
High School Graduation Year
GPA TOEFL (international students only)
Composite SAT Composite ACT
Golf Information
Home Golf Course (s)
Golf Swing Instructor
Short Game/Putting Instructor
Trainer
Sports Psychologist
Other Coach
* Please include golf course or facility affiliation for each teacher.
Top 5 College Choices 1.
2.
3.
4.
5.
Golf accomplishments in the past 24 months (date, tournament, scores, finish)
List several upcoming tournaments that you are scheduled to participate in
What year did you begin participating in serious competitive (regional and/or national multi-day) junior golf tournaments?
Do you currently have a college profile (academic/golf) posted on the Internet for coaches to review? (If Yes, which website (s))
I am interested in learning more about the following Red Numbers Golf program (s):
Have you registered for the NCAA Clearinghouse? Yes No
Are you an AJGA member? Yes No
Would you like to receive a follow up phone call from Coach Brooks? Yes No
If yes, please indicate who to call along with their phone number.
How did you hear about Red Numbers Golf (include person's name if applicable):
General Comments
