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LISA "LONGBALL" VLOOSWYK | EMAIL : LISALONGBALL@SHAW.CA | PHONE : (403) 804-4739

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Lisa Longball Golf School Registration Form

Orlando, Florida
January 15-17, 2027
February 13-15, 2027

Hello Ladies!

I am SO excited to work with you all! Could you please fill out the following Form and submit it by September 8, 2026!

School

Select the School you are attending *

Personal Info

Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address *

Phone

Are you staying at the resort? *YesNo

Attendees

Are you attending the School by yourself? *YesNo

Family and Friends Attending With You

Name

Email Address

Meals

Do you plan on attending the Optional Dinner (not included in the package) on January 16 at the Mikado Japanese Steakhouse with Lisa? *YesNo

Do you plan on attending the Optional Dinner (not included in the package) on February 14 at the Mikado Japanese Steakhouse with Lisa? *YesNo

January 16 Lunch

Included with Lunch

February 14 Lunch

Included with Lunch

One Sandwich (select below)
Cucumber Tomato Salad (GF)
A Piece of Whole Fruit
Chips
House Baked Chocolate Chip Cookie (D)
Bottle of Water

(V) Vegan (GF) Gluten-Free (D) Contains Dairy (N) Contains Nuts

Select Your Sandwich *Oven Roasted Turkey with Swiss Cheese, Roasted Tomato Aioli, Arugula on a Whole Grain Bun (D)Buffalo Chicken Wrap with Shaved Buffalo Chicken, Shredded Lettuce, Tomato, Pepper Jack Cheese, Ranch Spread in a Classic Tortilla (D)Southwest Steak Salad with Blackened Steak, Local Greens, Black Beans, Roasted Corn, Tomato and Avocado Ranch (D/GF)

Do you have any food allergies or dietary restrictions? *YesNo

List Your Allergies or Restrictions

January 17 Lunch

Included with Lunch

February 15 Lunch

Included with Lunch

One Sandwich (select below)
Mixed Green House Salad with Balsamic Vinaigrette (GF/V)
A Piece of Whole Fruit
Chips
House Baked Chocolate Chip Cookie (D)
Bottle of Water

Do you have any food allergies or dietary restrictions? *YesNo

List Your Allergies or Restrictions

January 15 Opening Dinner

February 13 Opening Dinner

Fixed Dinner Menu

TABLE SNACKS

Crudité & Dips
- onion dip | red pepper hummus | pita chips
Buffalo Ranch Peanuts

SALADS

Tomato & Cucumber Salad
- red onions | cilantro | citrus vinaigrette
Loaded Baked Potato Salad
- bacon | sour cream | cheddar cheese | scallions

SLIDER BAR

Falls Burger Slider
- pickle aioli | chipotle gouda | caramelized onions
Crispy Chicken Slider
- chipotle mayo | bib lettuce | tomato | pickles
Impossible Slider
- pico de gallo | guacamole | bib lettuce
House Chips

DESSERTS

Chef Choice Desserts

(V) Vegan (GF) Gluten-Free (D) Contains Dairy (N) Contains Nuts

Do you have any food allergies or dietary restrictions? *YesNo

List Your Allergies or Restrictions

January 17 Closing Dinner

February 15 Closing Dinner

Fixed Dinner Menu

Salad: Young Spinach (GF/D/N) Poached Pears, Bourbon Pecans, Midnight Moon Aged Goat Cheese, Roasted Shallot Vinaigrette

Entrée: Herb Roasted Chicken (D/GF), Parmesan Risotto, Broccolini with Lemon Oil, Blistered Toy Box Tomatoes, Fresh Herbs, Natural Chicken

Dessert: Chocolate Oreo Cake (D), Chocolate Cake, Cream Cheese Mousse, Chocolate Ganache

(V) Vegan (GF) Gluten-Free (D) Contains Dairy (N) Contains Nuts

Do you have any food allergies or dietary restrictions? *YesNo

List Your Allergies or Restrictions

Golf School

Have you been to one of Lisa’s schools before?YesNo

School(s) AttendedWhich schools have you been to?

What is your handicap?

How many rounds do you play each year?

What do you want to learn at the school?

Emergency Contact

Contact Name *

Relationship To You

Contact Email *

Contact Phone *

Additional Information

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LISA LONGBALL

Lisa is an 8-Time Canadian Long Drive National Champion. She currently holds the Canadian Long Drive record at 350 yards 2 feet 2 inches. Lisa is a Successful Keynote Peak Performance Speaker, Golf Entertainer, Brand Ambassador and Golf Journalist.