Registration Form

Please return to Julie Bliss, Director of High Performance, USTA/Eastern

 550 Mamaroneck Avenue Suite #209 Harrison, NY 10528

 or fax to (914) 698-2471

 

                        Yes, a representative from our school will be attending.

 

______            Full table, player profiles, food and gift ($100).  Enclosed you will find my method of payment. 

 

______            Half Table, Player Profiles, food and gift ($55).  Enclosed you will find my method of payment. 

 

______            No, I cannot attend but I would like to receive a player dossier.  Enclosed you will find my method of payment ($15 each).  Please indicate whether you would like a boy’s or girl’s packet.

 

______            No, a representative from our school will not be attending. But we will be sending information to be included in the player’s packet.

 

PLEASE NOTE THAT WE MUST RECEIVE YOUR INFORMATION NO LATER THAN NOVEMBER 1^ST  IN ORDER TO BE INCLUDED IN THE PACKET

 

 

Name of Institution      ___________________________________________________

 

Affiliation (Division)      ___________________________________________________                         

 

Name of Attendee       ___________________________________________________

 

Address                       ___________________________________________________

 

                                    ___________________________________________________

 

                                    ___________________________________________________

                       

Email Address                       

 

Phone Number            ___________________________________________________

 

 

 

­­­­­Method of Payment: 

Check Enclosed (please check)___________ (Checks made payable to USTA/Eastern, Inc.)

 

Credit Card # _______________________________________  Exp. Date____________

 

Zip Code_____________________  (we only accept Visa and Mastercard)  

 

 

Signature                     ___________________________________________________

 

Prior to Event Please make sure you have done the following:

 

1. Registration: 
1. Please fill out the response form below and return it to address below.  Please  include a future match schedule. 

b.   Please Make check payable to: USTA/Eastern, Inc. or include Credit Card information (only accept Visa and MasterCard) and send to address below.

c.   Please fill out enclosed Coaches Profile form neatly, and accuractly and send

      to address below. 

Julie Bliss

USTA/Eastern, Inc.

550 Mamaroneck Avenue, Suite 209

Harrison, NY  10528

(914) 698-2471 (fax)

 

Full table, player profiles, food and seminars = $100

Half Table, Player Profiles, food and seminars=$55

Player Profiles = $15 each

 

 

2. We look forward to seeing you on Sunday, November 20th!

 

 

Directions:       The USTA NTC can be reached via the Long Island Expressway, Grand Central Parkway or Van Wyck Expressway.  Watch for Flushing Meadow Park, National Tennis Center or Shea Stadium signs.  The Tennis Center is adjacent to Shea Stadium and is about 1 mile from LaGuardia Airport.  For further information please contact the USTA NTC at (718) 760-6200.

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