Sixtyone Golf Questionnaire 
Please fill out every question so that we may update your and your students file accordingly.
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Email *
PRIMARY CONTACT INFORMATION
Parent Full Name: *
Parent Phone Number:  *
Parent G-mail (Must be a Google mail account): *
Address: *
Best time to contact: *
SECONDARY CONTACT INFORMATION 
Full Name: *
Phone Number:  *
Email (Preferably a G-mail account): *
Best time to contact: *
GOOGLE CHAT APPLICATION
Upon filling out the registration on the "Parent Page" you have been sent an invitation to the "Clubhouse" thread at the email you provided. If you do not see an invitation the system most likely did not take your email provider ( you will need a Gmail). You must download the google chat application to your phone. This will be our main form of communication with all parents in the program.  If you have any trouble or have any questions please contact member services at (909) 248-3090
Have you added yourself to our CLUBHOUSE chat in the google chat app?
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STUDENTS INFORMATION
Below please fill out all the students information.
Students Full Name *
Students G-mail? (needs to be google email if their school email is not authorized) *
What school will your student be attending this year? *
What grade will your student be in this year?  *
Students Birthdate (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Students Shirt Size  (Youth Sizes) if they are an adult size please specify in "other" *
Is your student Right handed or Left handed? *
Is there anything we should know about your student? *
Students Favorite color & dessert *
Do they or have they played any other sports? If so which sport? *
Share some highlights/accomplishments about your student *
Student HQ Page
Please register your student to the HQ dashboard. Here they will be able to log their progress in the program and start earning buckets to move up hat levels and earn play time on the course. Use your students information to register. A username and password they will remember and preferably his/her email. Go to this link to register your student: HQ Page
Does your student have an HQ profile?  *
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