Play Better Pool Course Application

___General     $200                  ___Advanced    $400


Name:__________________________________

Address_________________________________

City, ST, Zip_____________________________

Phone___________________________________
Home_______________________________
     Work_______________________________
     Cell________________________________
Age_____

Email address___________________________

Pool Playing Experience
( In a few words outline your pool playing. Ex.. for fun, league, tournaments�)


Do you have any physical problems that may affect your pool playing? Describe.____________________________

Do you have an eye problem?________________________

Why are you taking this course?______________________


You must pay class fee when you submit your application.

Print this page    fill out and bring to class. Call for schedule time and date.