NTA 2020 SUMMER CLINIC REGISTRATION

2020 SUMMER TENNIS CLINIC REGISTRATION

Fun And Fitness Days
PARTICIPANT'S NAME *

First Name Last Name
DOB *
YOUTH CLINIC *
ADULT CLINIC

BEGINNER (just learning the basics of the game, scoring and hitting the ball) INTERMEDIATE (ability to hit consistent strokes and keep ball in play) ADVANCED (ability to hit the ball wherever on the court and use strategy in playing)
CELL PHONE NUMBER *

Area Code Phone Number
EMAIL ADDRESS *
example@example.com
MAILING ADDRESS

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
ETHNIC BACKGROUND *

AFRICAN-AMERICAN CAUCASIAN ASIAN HISPANIC/LATINO NATIVE AMERICAN/PACIFIC ISLANDER
USTA MEMBERSHIP NUMBER
Please Provide Your USTA Membership Number
EMERGENCY CONTACT *
ANY SPECIAL NEEDS/MEDICAL CONDITIONS OR OTHER CONCERNS
2020 NTA TENNIS CLINIC *
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CLINIC REGISTRATION FEE $ 25.00

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Total $ 0.00
TAKE PHOTO *
Signature *

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2020 SUMMER TENNIS CLINIC REGISTRATION