EmailMe Form - MIAA Student-Athlete Submission Form

STUDENT-ATHLETE INFORMATION

Name *

Gender

Male

Female

Date of Birth *

MM / DD / YYYY

Email *

Cell Phone *

### - ### - ####

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Have you ever had a USGA GHIN Handicap Index with a golf club either in or out of state? *

No

Yes

If you answered yes, what was your GHIN #.

SCHOOL INFORMATION

School Name *

School Hometown *

Primary Sport *

Primary Sport Coach Name

Primary Coach Email

Primary Coach Phone

### - ### - ####

PROGRAM SUMMARY

This program is made possible through the coordination and cooperation of the MIAA and Massachusetts Golf Association. The program will provide complimentary Mass Golf/USGA GHIN Handicap Indices to current MIAA Student-Athletes.