Cowpernicus Golf Instruction Personal Golf Inventory
This form will help Cowpernicus and you determine your golf instruction needs.  This will also serve as an application when applying for golf instruction.  For details on rates and schedules please await a response via email.  Thank you.

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Email *
Name *
Email *
Address *
Phone number
The primary reason I wish to have golf instruction:
When I swing the club. . . *
When I hit the ball. . . *
My favorite club is.: *
I have been golfing for: *
I want to get better at: *
I golf on the course: *
I practice at the range: *
The Primary complaint I have for my golf game is: *
I am interested in:  *
Please contact me by: *
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