Client Information

After Scheduling your Lesson, please provide the below information so your Instructor can build your customized profile for your program.

Remember to fill out this form only After you've scheduled your lesson.

FIRST Name *

Last Name *

Phone *

date of birth *

Email (Same as booking email) *

Are you suffering from a medical condition, illness, or injury? *

NoYes

Gender *

MaleFemale

Are you a left-handed or right-handed golfer? *

Left HandedRight Handed

Weight (in pounds) *

Height (Feet & Inch) *

Do you have any physical limitations your Instructor needs to be made aware of? *

NoYes

If you answered yes to any question, please elaborate:

What type of Golfer are you? *

BeginnerWeekend EnthusiastCompetitive

What would you like to improve about your golf game and/or what do you think you struggle with most?

How did you hear about UGRx? *

Facebook/InstagramGoogle AdFriend/ReferralHaas Family GolfOther

I declare that the info I’ve provided is accurate & complete. *

Submit

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

30 Min Booking

30 Minute Follow Up Lesson

30 Minute Exercise & Fitness Session

Physical Assessment

1 Hour Booking

Package Lessons

1 Hour Exercise & Fitness Session

1 hour lesson

New Client Special

1.5 Hour Booking

Swing Analysis & Physical Assessment

Your Cart

To ensure correct delivery and avoid any confusion, we kindly request that you place gift cards or packages intended for the same person in the same order. For gifts or packages going to different individuals, please create separate orders.

$ 0.00 USD

Remove

Subtotal

Pay with browser.

Continue to Checkout

No items found.

Product is not available in this quantity.

Gallery

Take a visual tour of Upstate Golf Rx in action. Browse our gallery to see real moments from our lessons, events, and success stories on the course.

Building A Better Golfer

Home About us K-Motion™Services Practice Areas Packages Gift Card

FAQ Blog Contact Us Privacy Policy Terms of Service Accessibility Sitemap

Language

English