Wufoo

MMTC New Member Information

Please Complete as many questions as possible and that you are comfortable with.
Your information is Never Shared or Sold!
This information will be fully encrypted
before transmission for your protection.

Name * First Last
Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Email *

This email will be used by the Board of Directors as well as the general membership to contact you.
Preferred Contact Phone * - (###) - ### ####
Emergency Contact Phone - (###) - ### ####
This Phone number will be used as necessary, to reach your emergency contact person you designated, should you be injured during an MMTC event or tournament.
Emergency Contact Person First Last
Birth Date (Month and Day Only Make year 2008) / MM / DD YYYY
We are interested in your Month and Day only. Please enter the year as the current year
GLTA Id# (Last 6 of Social)

Please enter the last 6 digits of your Social Security Number. This number is used to Track your GLTA Rankings.
USTA Membersip Number if known (10 Digits)
NTRP Rating (if known) example 3.5
I play this level as a Singles Player
Open A B C D Not Presently Rated
I play this level as a Doubles Player
Open A B C D Not Presently Rated
If you are joining because of communications or were referred to the club by one of our members please include his/her name so we can thank them. First Last
What would you like to see our club offer?
(Please Check all that Apply)
Membership Only Singles Ladder Doubles Ladder Team Tennis Free Play Organized Tennis Camps Member Coaching or Lessons Social Events Tournaments Community or Youth Events Volunteer Board of Directors Position
Please feel free to Contact Me about Helping with or Chairing the following:
Membership Committee Singles or Doubles Ladder Organizing Team Tennis Organizing Tennis Camps Coaching other Members Instruction or Lessons Organizing Social Events Being a Host for a Social Event Tournament Director Tournament Volunteer Fund Raising Tournament Raffle Items Organizing Community or Youth Events General Volunteer Board of Director Position
I would like to be informed when out of town visitors are looking for play.
Always Only if they are ranked similar to myself. Never
Comments or Suggestions
Do Not Fill This Out