2024 CAF NorCal Adaptive Golf Clinic - Participant Registration

Date: May 20, 2024

Time: 9am - 1pm (check-in begins at 8:30am)

Location: The Olympic Club - 599 Skyline Blvd., San Francisco, CA 94132

In partnership with U.S. Adaptive Golf Alliance (USAGA) and ELEVATE Golf Academy, join us a day of adaptive golf held at The Olympic Club in San Francisco on Monday, May 20th from 9:00AM – 1:00PM.

This free clinic is open to individuals with a physical disability of beginner or novice golf skill level who are eager to learn for the first time or improve their golf techniques with guidance of professional adaptive golf coaches. Instruction will include driving, short game, and putting.

CAF will provide all equipment needed for play and lunch will be served to participants and their guest compliments of the famous Hot Dog Bills at The Olympic Club.

More information to come via email.

For questions, please reach out to Eva at eva@challengedathletes.org.

Athlete Information

First Name

Last Name

Date of Birth

Gender

Ethnicity

Street

City

State/Province

ZIP/Postal Code

Country

Mobile Phone

Emergency Contact

Emergency Contact Phone

Emergency Contact Relationship to Participant

Are you an individual with a permanent physical disability?

Choose disability category

Choose primary diagnosis

Please list diagnosis

Please select level

How did you acquire your disability?

What is the date of disability? MM/DD/YYYY

Please list any secondary physical issues/limitations

Have you ever received a grant from CAF?

Please provide a short bio

T-Shirt Size (Unisex)

Please list all allergies (food, surfaces) or any medical conditions we need to be aware of for this event (if none type none)

How many CAF events have you attended before?

How did you learn about this event? Please choose the best option

Please explain

Clinic Information

Please indicate your level of golf experience

Will you be bringing your own golf clubs to this clinic?

Will you be bringing your own adaptive golf cart to this outing?

Will you utilize one of the rental adaptive golf cart with stand up support?

If applicable, will you need assistance transferring in and out of the adaptive golf cart?

How many guests will be attending this clinic with you?

Name of Guest 1

Name of Guest 2

Please let us know why you are registering for this event and what you are looking forward to:

Please describe any other sports or recreational activities you participate in:

Please list any type of adaptive golf equipment you currently use: (for ex, Clubs, gloves, grips, shafts, etc)

Please list any assistive devices you will utilize and /or bring (for ex, wheelchair, crutches, walker, scooter, etc.)

Field Is RequiredField Is RequiredI hereby certify that I am eighteen (18) years or older, or the parent/legal guardian of participant, and that I have read this waiver and release and I hereby do consent to the terms and conditions of the CAF Release of Liability and the CAF Participant Code of Conduct
(Type full name to electronically agree)

Parent Name (if participant is under 18)

Contact Information