If you are interested in registering for a Private Golf Lesson, please complete the following form. You will be contacted by the Golf Club to confirm your lesson plan. All fields below are required.

First Name
Last Name
Company (optional)
Street Address
City
State
Zip
Telephone
Email
Desired Golf Professional		-- Select a Golf Professional -- ------------ CLASS A ----------- testfirst testlast John Hobbins Tim Townsend Marjorie Jones ----------- GOLF PRO ----------- testfirst2 testlast2 Dale Gray Tom Guy Allan Renz Christopher Stoudt Greg Moon Joshua Myers Jeffrey Anderson James Field
Desired Lesson Date(s)
Desired Lesson Time		-- Select a time of day -- Morning Afternoon Evening
Questions & Comments (optional)
To view the Chelsea Piers online privacy policy, .