Scorers Clinic Request
Please note there is a $2 charge per person attending
Club Name *
Your answer
Venue
Your answer
Proposed Date 1 *
MM
/
DD
/
YYYY
Start Time *
Time
:
Proposed Date 2
MM
/
DD
/
YYYY
Start Time
Time
:
Participant Numbers *
Clinic Requirement *
Please give us details of the scorers participation knowledge, e.g.: Beginner, Intermediate, Advanced
Your answer
Further Details or Questions
Your answer
Name of Contact Person *
Your answer
Contact Phone Number *
Your answer
Contact Email Address *
Your answer
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