MIGA Golf Assessment Form Golf Assessment Request Form Name * WeChat Name Phone * Email * Date of Birth * Age Are you a Member of a Golf Club? Yes No Name of Golf Club How Often Do You Practice a Week? Number of Hours? How Often Do You Play A Round of Golf per Week? What issues do you have with your Game? What do you want to improve? What are your goals? Do you play any other sports? List? Body Injuries or any Broken bones or sprains? What is the reason for having this complimentary lesson? Submit If you are human, leave this field blank.