2018 USTA Eastern Captain Nomination Form
Captain Nominated
*
Region
*
Long Island
Metro
New Jersey
Northern
Southern
Western
Division
*
Adult
Mixed
Tri-Level
Age Group
*
Adult 18&Over
Adult 40&Over
Adult 55&Over
Adult 65&Over
Mixed 18&Over
Mixed 40&Over
NTRP Level
*
2.5
3.0
3.5
4.0
4.5
5.0
6.0
7.0
8.0
9.0
10.0
Select One
*
Male
Female
Club Name (If applicable)
Provide 3 words that best describe the captain:
*
Why do you feel this nominee is deserving of this award?
*
Nominator's Name
*
Nominator's Email
*
example@example.com
Submit
Should be Empty: