"Michigan Adaptive Golf Clinic- Sign up sheet"
Michigan Adaptive Golf Clinic Golfers (A free golf swing lesson) Modified golf equipment will be available on site for your lesson. You may bring your own as well. C Therapists / Golf Pro will be available for L I modification of your golf swing, making adaptations as needed. Registration Information (Please fill out completely) N Name_____________________________________________ I Address___________________________________________ C City_____________________Zip Code__________________ R Phone ___________________________________ E Clinic Location (Directions provided upon receipt of registration or you can mapquest) Genesee Fieldhouse Wednesday April 22, 2009 7383 Grand Parkway Grand Blanc, MI 48439 G Choose a time for your lesson. 1:00-2:00 I 2:00-3:00 S Your Goal for the lesson:__________________ T ________________________________________ R A What do you feel you need assistance with? Can mark more than one. Grip (holding on to the club) __two-handed __one-handed Balance __sitting __standing Strength Golf swing itself Questions? Contact T Other______________________________ Monica Haubenstricker 1-810-342-4182 I Please return this completed form to: Michigan Adaptive Golf / McLaren Regional Medical Center O 401 S. Ballenger Highway Flint, MI 48532-3685 N