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2024 Participant Registration

Ernie Els #GameON Autism® Golf Clinic Registration Form

The Els for Autism Foundation host’s an Ernie Els #GameON Autism Golf Clinic at select locations of the Golf Challenge regional event series and offers participants an orientation to golf, specialized for individuals on the autism spectrum. The 1-hour clinic includes a 5-minute introduction and 45 minutes of golf activities with intermittent short breaks. During the clinic, students will work on new golf skills while practicing specific autism learning concepts infused into the lesson plan. The clinic is divided into 4-6 stations that utilize visual supports to cover basic golf skills: Stretching & Grip, Putting, Chipping, Pitching, and Full Swing.

The program is infused with evidence-based practices for teaching golf to people with autism spectrum disorder (ASD). Participants learn golf skills while practicing specific autism learning concepts, including communication, emotional regulation, motor, and social skills. The program goals are for participants to achieve golf success and build confidence in a fun, welcoming, and supportive environment.

If you were not directly invited by an autism non-profit organization or Els for Autism, please contact Olivia Butler at olivia.butler@elsforautism.org to ensure space is available and receive event details like timing. Thank you!

Which regional Golf Challenge event are you attending?(Required)

Participant's Name(Required)

MM slash DD slash YYYY

Participant is:(Required)

Participant's golf skill level:(Required)

Participant communicates:(Required)

Participant's receptive language capability:(Required)

Parent/Guardian's Name(Required)

VIDEOGRAPHY/PHOTOGRAPHY/AUDIO RELEASE CONSENT

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Employees/staff/Contractors of the Els for Autism Foundation may use these photographic images, video segments, or audio segments for reasons other than therapeutic purposes, including dissemination on social media.

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If you have further questions about the information on this form, you may contact olivia.butler@elsforautism.org.
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