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*

MaleFemaleMixed
Level of play Combo ONLY

2.53.03.54.04.55.05.56.06.57.07.58.08.59.09.5
Type of Play*

ComboMixed ComboTri-LevelMixed Tri-Level
If Tri-Level, select

Entry Tri-Level 2.5/3.0/3.5Low Tri-Level 3.0/3.5/4.0Mid Tri-Level 3.5/4.0/4.5High Tri-Level 4.0/4.5/5.0
Number of Players Committed
Preferred day of play*
Preferred time of play*

AMPM
Should be Empty: