NEL Team Intent Form Tri-Level and Combo

NEL Team Intent Form Tri-Level and Combo
Team Captain name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
USTA Member #
Co-Captain

First NameLast Name
Home Courts
Court Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Tennis Club Coordinator

First NameLast Name
Club Coordinator Phone Number

Area CodePhone Number
Club Coordinator E-mail
Team Gender
Level of play Combo ONLY
Type of Play
If Tri-Level, select
Number of Players Committed
Preferred day of play
Preferred time of play
Should be Empty: