May 24-25, 2021Player Assessment Registration Athlete's InformationAthlete's Name* First Last Athlete's Email* Gender*MaleFemaleGraduation Year* Parent's InformationParent's Name* First Last Parent's Email* Phone Number*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Athletes Instructional Coach's InformationWe're asking for this so we can invite your coach to participate and learn the benefits of our Player Development Index Assessments!Athletes Instructional Coach's name First Last Coach's business affiliate (workplace or course) Coach's Email Coach's Phone Number Select Date*-- Select--Monday May 24th- Oak Ridge Country Club Oak Ridge TNTuesday May 25th - Hermitage Golf Course, Old Hickory, TNSelect Time8:00 AM9:00 AM10:00 AM11:00 AM12:00 PM2:00 PM3:00 PM4:00 PM5:00 PM6:00 PMTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Terms and Conditions* By checking this box you are agreeing to our terms and conditions View Terms and Conditions Hide Terms and ConditionsHiddenInterested In HiddenAthlete or Pro Terms and Conditions By checking the box, I acknowledge that I have voluntarily chosen to participate in a program of progressive physical exercise, which can enhance musculoskeletal and cardio-respiratory systems. By checking the box, I acknowledge being informed of the possible strenuous nature of the program and the potential for unusual, but possible, physiological results including, but not limited to, abnormal blood pressure, fainting, heart attack or death. By checking the box, I assume all risk for my health and well-being and hold harmless of any responsibility of the instructor, facility or any other persons involved with this program and testing procedures. I understand that questions about exercise procedures and recommendations are encouraged and welcomed. I hereby grant permission to the Golf Performance Center (TGPC) and /or The Athlete’s Performance zone (TAPZ) and /or Junior Golf Hub (JGH) to use either my or my child’s image, videotape, audiotape or interview and name in any educational publication or advertising/marketing materials (printed or electronic). This consent also serves to waive all rights of privacy or compensation. By checking the box, I acknowledge that there are risks inherent in participating in golf programs at The Golf Performance Center (TGPC). The Member agrees to release The Golf Performance Center (TGPC) and /or Junior Golf Hub (JGH) and its personnel from any liability from personal injury property damage or loss sustained by the Member, including injury resulting in death and any financial loss or damage, directly or indirectly resulting from the Member’s activities or participation in events at The Center. The Member further waives, as against TGPC and/or JGH, all claims recourses and rights of action that the Member may have against TGPC and/or JGH as a result of such personal injury, property damage or loss.