VTA Richmond League (WINTER)
2018 VTA Richmond Winter League

First Name*
Last Name*
Email Address*
Primary Phone* 555-555-5555
Primary Phone Type*
Birth Date* mm/dd/yyyy
NTRP Rating*
Is this a self rating or a USTA rating?*
USTA Member
USTA Membership Number
USTA Expiration Date mm/dd/yyyy
I am signing up as:*
Release Statement By registering for the 2017 VTA Richmond Winter League, unless otherwise stated below, I hereby give my permission for the Virginia Tennis Association to use my photograph/image/video and/or audio recording in its various publications, promotions, website and other media. I understand that the Virginia Tennis Association has exclusive rights to these visual and audio recordings. I also confirm that I have not been convicted of a felony, and I understand that the Virginia Tennis Association may refuse entry into its leagues and other events to any individual for any reason, including but not limited to false statements made to the Virginia Tennis Association and felony convictions.
Do you agree?