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2005-2006 CTC APPLICATION FORM

Section 1 – Name & Address

Name: ________________________ Parent/Guardian Name: ______________________

Address: ________________________________________________________________

Email Address: _________________________ Age: _____ Phone#: ________________

Section 2 –Tournaments

2005 DE Tournament Record: ___________________ 2004 Ranking: ________

2005 Middle States Tournament Record: _________________ 2004 Ranking: ________

Section 3 – High School Play (If applicable)

School: _______________________________ Position on Team: __________________

Personal Record: _____________Doubles Partner (if applicable): __________________

Section 4 - Key Wins/Losses

List Up To Three Key Wins that occurred in organized matchplay (USTA Sanctioned Tournaments, Non-Sanctioned or Club Tournaments, League play).

Opponent Score

1. ____________________________ ________________

2. ____________________________ ________________

3. ____________________________ ________________

List No More Than Two Respectable Losses in Organized Matchplay

Opponent Score

1. ____________________________ ________________

2. ____________________________ ________________

Section 5 – References (Talent, Sportsmanship, Ability to Work w/ Others)

Name Phone

Teaching Pro or Coach 1.____________________ ________________

(list at least one) 2.____________________ ________________

Other References 1.____________________ ________________

(list at least one) 2.____________________ ________________

Section 6 – Other Useful Information (Please write below or attach)

 

 
 
 
 
 
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