South Palm Beach, FL - WTT Florida (Fall) - 2009 South Palm Beach Fall League

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State*	- Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia 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 Canada - Ontario Puerto Rico
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Primary Phone* 555-555-5555
Primary Phone Type*	- Select - Home Work Cell
Gender*	- Select - Male Female
NTRP Rating*	- Select - 2.5 3.0 3.5 4.0 4.5 5.0 Junior
Is this a self rating or a USTA rating?*	- Select - Self USTA Junior
I am signing up as:*	- Select - Team Captain Participant-I am already on a team Participant- I need to be placed on a team Substitute
Division/Team:	- Select - 3.5 South Palm Beach - BallBusters - Steven Zeitchick 3.5 South Palm Beach - Bellaggio - BARRY KATZEN 3.5 South Palm Beach - BYE - N/A 3.5 South Palm Beach - Deer Creek - Rosalie Kolko 3.5 South Palm Beach - Lighthouse Point Beacons - Tim Griffin 3.5 South Palm Beach - Mizner Mixers - Patti Ransom 3.5 South Palm Beach - please assign me to a team
Preferred Captain Name
Facilities	- Select - Boca Falls Boca Pointe Bellaggio Deer Creek Lighthouse Point Mission Bay Mizner Patch Reef Woodfield Please assign me to a team.
Release Statement	By allowing my name to appear on a WTTFLORIDA roster, I agree to abide by all rules of World TeamTennis and WTTFlorida. I do hereby and on behalf of myself and my heirs and legal representitives release and forever discharge Palm Tennis Management Group, LLC dba WTTFLORIDA of and from any and all claims and demands of every kind, nature and character which I may have or may hereafter acquire for any and all demands, losses or injuries which may be suffered or sustained by me. I also understand that any special medical needs remain the responsibility of the individual player.I also give permission to use my photograph on their web sites, email communications and/or media releases. ** Signature: Yes to Do you agree? is same as signature. Date: Date registration is completed
Do you agree?	- Select - Yes No