Clone of 2025 Alaska Team Confirmation-Captain's Agreement-Mixed 40 and Over

Alaska
2026 USTA League Team Confirmation-Mixed 40+
Captain's Agreement

Mixed 40 & 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 December 17, 2025.

A team number will be sent to the Team Captain after the Facility has also confirmed the team.
Level of Play*
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.
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 12/17/25):*

MonthDayYear
Problems or Questions?

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

Problems or Questions?