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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

Phoenix, Arizona
March 1-3, 2027
March 15-17, 2027
April 5-7, 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 15, 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 March 2 at the Gold Canyon Clubhouse with Lisa? *YesNo

Do you plan on attending the Optional Dinner (not included in the package) on March 16 at the Gold Canyon Clubhouse with Lisa? *YesNo

Do you plan on attending the Optional Dinner (not included in the package) on April 6 at the Gold Canyon Clubhouse with Lisa? *YesNo

March 2 Lunch

Included with Lunch

March 16 Lunch

Included with Lunch

April 6 Lunch

Included with Lunch

Sandwich or Salad (select below)
Whole Fruit
Chips
Pickle
Cookie
Bottle of Water

Select Your Sandwich or Salad *Caprese Sandwich
Tomato, Basil, Mozzarella Cheese, Pesto on Whole Wheat ToastTurkey and Jack Cheese
Turkey, Jack Cheese, Lettuce, Tomato, on Whole Wheat Toast (no mayo)Wedge Salad with Tuna Salad Ranch on the side

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

List Your Allergies or Restrictions

March 3 Lunch

Included with Lunch

March 17 Lunch

Included with Lunch

April 7 Lunch

Included with Lunch

Sandwich or Salad (select below)
Whole Fruit
Chips
Pickle
Cookie
Bottle of Water

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

List Your Allergies or Restrictions

March 1 Opening Dinner

March 15 Opening Dinner

April 5 Opening Dinner

Dinner Menu includes:

Salad of mixed Field Greens
- Carrots, tomato, radish, pepper
- Balsamic Vinaigrette & ranch on the side
Main Entrée (select below)
Roasted Potato
Grilled Broccolini
Fresh Fruit Cup for dessert

Select Your Entrée *Atlantic Salmon
Lemon Caper SauceBeef LasagnaStuffed Portobella Mushroom
Plant based meat, Quinoa, Marinara

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

List Your Allergies or Restrictions

March 3 Closing Dinner

March 17 Closing Dinner

April 7 Closing Dinner

Fixed Dinner Menu Includes

Mixed Greens Salad: onions, carrots, tomato, cucumber
- Ranch & Balsamic Dressings
Cole Slaw
Roasted Potato
Green Bean Casserole
Grilled BBQ Breast of Chicken
BBQ Ribs
Classic Corn Bread with Honey Butter
Fresh Baked Fruit Cobbler

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.