Register for USPTA's Tennis Across America Yes, I will participate in USPTA's Tennis Across America as a/an host professional assistant Name: USPTA member Yes No Member No.:      Division:    Contact phone:  e-mail address: Date of clinic: Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 My clinic/social will be open to the public members only This is a multicultural clinic yes no Type of event -Select- Adult clinic Cardio Tennis Junior clinic Junior/Adult clinicLittle Tennis Member/Guest QuickStart Facility name: Street address: City: Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP: Country: Facility phone: The following people will assist at my event: Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable): Name: Member No. (if applicable):