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If you want to become a Certified GolfPsych® Instructor,
submit the form below or contact us for more information and an application.
 
Personal Information-
Name: Phone:
Address:
City: State: Zip:
E-mail:
PGA Member #:
 

Tell us about your golf history:

Three References:
Names:
Phone:
Position:
 
 
 

Tell us why you want to become a certified GolfPsych® Instructor:

The above information is true and accurate.

 
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