USHSTA - Membership Registration Form

USHSTA Membership Registration Form

The information below will be compiled to develop a profile of U.S. high school tennis coaches and their programs, along with participation numbers to enhance the status of high school tennis coaches and high school tennis, overall, among various tennis industry organizations, manufacturers, etc.

* Membership Type:

Educational - $8.00

* First Name:

* Last Name:

Title:
(Check all that apply)

Boys Head Coach
Boys & Girls Head Coach
Girls Assistant Coach
Private Coach

Girls Head Coach
Boys Assistant Coach
Boys & Girls Assistant Coach
Other:

Season(s) you coach:

Spring Fall

Average number of players in program:

Boys: Girls:

* School Name:

* City:

* State:

* E-mail:

Phone Number:

* Desired Password:

I will be paying by:

Credit Card

Name on Card:
Card Number:
Expiration Date:
Billing Zip Code:

Check

Mail checks to:
110 Roswell Farms Lane
Roswell, GA 30075

Personal Coaching Profile

# of Years Coaching:

Titles Won:

State Conference

Member of:

USTA USPTA PTR

I am renewing my membership:

How did you hear of us?

Brochure Internet search Other:

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