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PennSuburban Community Tennis Association

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 PennSuburban Community Tennis Association, Inc

P.O. Box 1054 North Wales, PA 19454

Phone: 267­254­0284 Fax: 610­584­3092

www.pscta.usta.com pscta10s@gmail.com

 

Event / Program Registration Form

Please complete the registration form below and send your check payable (if applicable) to the

PSCTA at the above address. Photos may be taken during PSCTA events. If you do not

want you or your child’s picture published, please notify PSCTA. PSCTA recommends that

you check with your doctor before registering for a tennis program.

All items with italicized are not required for adults events

 

* indicates required field
*
 Full Name: 
*
 Date of Birth: 
 Current Age
 Parent's Name: 
*
 Email: 
*
 Home Phone: 
 - 
*
 Cell Phone: 
 - 
*
 Emergency/Alternate Contact's Phone: 
 - 
*
 Event/Program Location: 
*
 Event Name: 
 Fees Paid (if applicable): 
*
 Skill Level: 
 
 

 
 
 
 
 
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