Meet & Greet Request Form
Please complete the following form and submit it. Someone from our staff will be in touch with you shortly to schedule a Meet & Greet with you. Thank you.
Golfer's First & Last Name *
This field will be accepted as your legal electronic signature for this form upon it's submission.
Your answer
Age *
Your answer
Gender *
Phone Number *
ex: 9998887777
Your answer
Email Address *
Your answer
City of Residence *
Your answer
State of Residence *
Your answer
Program of Interest *
What is the best time for us to contact you? *
Handedness *
How much experience do you have? *
Your answer
How did you hear about us? *
Please let us know how you found us. If it was through someone specific, please put down their name, as we like to thank our loyal patrons.
Your answer
Please provide any other information about your previous experiences with coaching, your golf goals, or anything that you think would be helpful to us in order to provide you with the best experience possible.
Your answer
Waiver of Liability *
In consideration of being allowed to participate in any way in the services provided by Kevics LLC, any golf course, other facilities, and the staff, employees, independent contractors (collectively known as Service Providers) related events and activities, I, the undersigned, acknowledge, appreciate and agree that: 1. The risk of injury from the activities involved in these sport events is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and 2. I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for participation of The Member; and 3. I willingly agree to comply with the stated instructions and policies and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during the presence or participation of The Member, I will remove The Member from participation and bring such to the attention of the Service Providers immediately; and 4. I understand that if The Member is to be a passenger in any form of vehicle while traveling to and/or from or during any Service Providers related activities, I assume all liability insurance coverage; and 5. I, for The Member and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify and hold The Service Providers, and their officers, officials, agents and/or employees, other sport participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event or activity (“Releases”) harmless with respect to any and all injury, disability, death, or loss or damage to person or property, to the fullest extent permitted by law. Do you agree that you've read and accept the Waiver of Liability statement?
Assumption of Risk *
I understand, agree and acknowledge that some activities may be of a hazardous nature and/or include physical and/or strenuous activity. Understanding this, I state that The Member has no medical condition or impairment that might inhibit safe and active participation in the services provided. In addition, I understand that the Service Providers do not provide medical insurance coverage for service participants and that any applicable medical insurance must be provided individually by such participants. In the case of injury or medical emergency and in the event participant, or their parent or guardian, cannot respond at the time of the emergency, the Service Providers have permission to seek, administer, or have administered whatever first aid or emergency medical care deemed necessary for participant’s welfare, and it is understood that participant, and not the Service Providers, shall be responsible for any and all charges for such health care services regardless of whether participant’s medical insurance would cover such charges. Do you agree that you've read and accept our Assumption of Risk statement?
Class and Appointment Cancellations Policy *
Kevics Golf has a 24-hour cancellation policy. Should you need to cancel your appointment with Kevics Golf, it is your responsibility to contact your instructor at least 24-hours in advance of your scheduled appointment. Class Cancellations: Classes that are canceled by the student with less than 24-hours in advance notice or that are no-call no-show will have the benefit deducted from their account, or charged the full class fee. Appointment Cancellations: Appointments that are canceled less than 24-hours in advance or that are no-call no show, are subject to the full lesson fee. This includes series or monthly memberships. All cancellation fees will be charged to the card on file unless a series or membership is in place from which the lesson benefit will be applied to cover the fee. Do you that you have read and accept our Class and Appointment Cancellations Policy?
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