USTA Level 1 Coach Workshop Registration Form

USTA Level 1 Coach Workshop Registration Form

USTA’s Level 1 Coach Workshop is a two-day face-to-face workshop for non-certified coaches focusing on coaching and teaching tennis to beginners through low-intermediate players of all ages. In partnership with USTA Southern, USTA-U will deliver the Level 1 Coach Workshop. National Coach Developers approved by USTA will facilitate the training. USTA recommends registered coaches to take the online welcome and pre-course before attending the two-day on-court training. You will gain online access after completing full registration. This Level 1 Coach Workshop is recognized by certifying organization PTR and is the first step towards earning a Level 1 Coach Certification (USTA will automatically provide a record of completion, on your behalf, to all certifying organizations). Space is limited to 24 participants.
Name*

First NameLast Name
City
State
Select your workshop location and dates*
Date of Birth*

MonthDayYear
Participant Gender
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Participant Race/Ethnicity*

American Indian / Alaska NativeNative Hawaiian or Pacific IslanderAsian AmericanWhite/CaucasianBlack/African AmericanTwo or more racesHispanic or LatinoPrefer not to answer
Do you currently have a coaching/teaching position?*

YesNo
Current position

High School/Middle School CoachSeasonal Camp/Program CoachAdult PlayerNJTL/CTA Coach (year-round)High School PlayerOther
What Facility or Organization?*
Do you mainly coach/teach*

AdultsJuniorsBoth
Do you coach/teach in a program that focuses on ethnic, racial or socio-economically diverse participants?*

YesNo
How did you hear about this Level 1 workshop?

EmailTennis Service RepresentativeSocial MediaDistrict Staff MemberUSTA websiteEmployerOther
I am committed to attend this two-day Workshop in its entirety*

Yes
The participant is*
As a minor, a waiver must be completed by the parent/legal guardian to attend workshop
Signature

Clear
Registration Payment

prevnext( X )
USDDescription

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty: