Senior Cup Player Application Form

2019 Senior Cup Player Application
The 2019 Southern Senior Cup will be held in Pelham, Alabama from May 30 - June 2, 2019. Most meals are provided by the Southern Tennis Association. USTA Arkansas covers the entry fee. Players are responsible for their travel and hotel expenses. If you would like to be considered for this year’s team, please fill out the application by April 22, 2019. Minimum age to play 35 years old.
Full Name (As used on your USTA Membership) *

First Name Last Name
Birth Date *

Month Day Year
E-mail: *
Cell Phone Number: *

- Area Code Phone Number
USTA NTRP: *
USTA Number: *
USTA Expiration Date: *
Division: *

Men 35 Men 45 Men 55 Men 65 Men 75 Women 35 Women 45 Women 55 Women 65 Women 75
Choose One: *

Singles Doubles Either
T-shirt Size *

X-Small Small Medium Large X-Large 2X-Large 3X-Large
Should be Empty:

2019 Senior Cup Player Application