Tom Patri, PGA Professional, 183 Burnt Pine Drive, Naples, Florida 34119
Business: (239) 455-9179 Fax: (239) 455-2923 Email: tpatri@mindspring.com

REGISTRATION
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TPGS GOLF SCHOOLS
REGISTRATION 2002-2003
NAPLES GRANDE GOLF CLUB AT NAPLES, FLORIDA

NAME: __________________________________________________________________________________________

ADDRESS: _______________________________________________________________________________________

CITY: ___________________________________________ STATE: _______________________ ZIP: ______________

PHONE # (H):______________________________ PHONE # (W): _____________________________ EXT: __________

FAX #: ____________________________________ E-MAIL: _______________________________________________

WORKSHOP DATE CHOICE #1: ______________________________________________________________ AM / PM

WORKSHOP DATE CHOICE #2: ______________________________________________________________ AM / PM

NAMES OF PARTICIPANTS:

1. _______________________________________________________________ HANDICAP ____________________

2. _______________________________________________________________ HANDICAP ____________________

3. _______________________________________________________________ HANDICAP ____________________

4. _______________________________________________________________ HANDICAP ____________________

5. _______________________________________________________________ HANDICAP ____________________

_______ Privacy guarantee $ 750 ( 3 & 5 day schools only)

For workshops with less than 6 people and no provacy guarantee, TPGS reserves the right to fill additional spaces with outside students.

A 50% deposit is required 60 days before your scheduled workshop date. The remaining 50% is due no later than 30 days before your scheduled workshop date. Cancellation penalties: 45 - 60 days: 90% of deposit received refunded; 30 - 44 days: 50% of deposit received refunded; and less than 30 days: 0% deposit refunded, however we will credit 10% payment towards next workshop. (GOOD ONLY FOR ONE CALENDAR YEAR)

TPGS and Naples Grande are not responsible for any injury or illness while attending golf school. In the event of inclement weather no refunds will be issued, indoor lectures and instruction will occur.

METHOD OF PAYMENT:

CHECK OR MONEY ORDER ENCLOSED $ ______________________________________________________________

AMERICAN EXPRESS # ______________________________________________________ EXP DATE ____________

SIGNATURE _____________________________________________________________________________________

_____ One Day School
_____ Three Day School
_____ Pro Member Academy
_____ Half Day School
_____ Five Day School
_____ Junior/Collegiate Academy Winter
_____ Junior/Collegiate Academy Summer
_____ Parent/Child School
_____ Half Day School PCM
_____ PCM School
_____ PCM (S) School
_____ Three Day School Women
_____ With 9 Holes
_____ Pro School

PLEASE REMIT TO:
TP GOLF SCHOOLS

Tom Patri, PGA Golf Professional
183 Burnt Pine Drive, Naples Florida 34119
Email: tpatri@mindsping.com, Tel: (239) 455-9179 . Fax:(239) 455-2923