2024 AK Team Confirmation-Captain's Agreement-Adult 40 & Over

Alaska
2025 USTA League Team Confirmation - Adult 55+
Captain's Agreement

Adult 55 & Over
A USTA League Team Confirmation & Agreement form is required for all USTA League teams. Captains need to complete the information listed below and sign the form. Captains must sign the form for the team to be included in the match schedule. Captains need to acquire confirmation (verbal, email, or written) from your facility prior to submitting this Agreement.

Completed Team Confirmation Forms must be submitted before midnight on September 15, 2025.

A team number will be sent to the Team Captain after the Facility has also confirmed the team.
Level of Play*
Gender*
Captain's Name*

First NameLast Name
Captain's USTA Membership #:*
Captain's E-mail*
Captain's Best Contact Phone Number*

Area CodePhone Number
Co-captain's Name

First NameLast Name
Co-captain's USTA Membership #:
Co-captain's E-mail
Co-captain's Best Contact Phone Number

Area CodePhone Number
You may create a fun team name; you can enter it here. Or, your team name will be the club abbreviation and the captain's last name.
Are you a first time Captain?
By signing below, the Captain agrees to abide by all USTA League Regulations, The Code, and USTA/PNW Regulations. By typing my full name below, I am providing my e-signature:*
Today's Date (all team submissions must be received by midnight on 5/2/24):*

MonthDayYear
Problems or Questions?

Contact Susan Brunner at sbrunner@pnw.usta.com
Should be Empty:

Problems or Questions?