High School Tournament Voucher Form
Good for ONE entry fee for a first-time tournament player in a USTA North Carolina Sanctioned Junior Circuit or a L7. Please fill out the form below and you may be reimbursed. This form is time stamped and must be submitted within one week from the last day of the tournament in which your player participated and is requesting reimbursement. If submission of this form is outside of the 7 day window, the reimbursement request may not be completed.
Name
*
First Name
Last Name
High School
*
Coach's Name
*
Age Division
*
USTA Number
*
Tournament ID
*
Tournament Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
PARENT Name
The check will be addressed to this person.
Signature
*
Submit
Should be Empty: