Try Play™ Host Application

Program Host*

Host Contact*

First NameLast Name

Host Email *

Host Contact Address (This is the address where you will be receiving Try Play™ hats to give to your players. P.O. Box numbers will not be accepted)*

Street Address (No P.O. Box Numbers)

Street Address Line 2 (No P.O. Box Numbers)

CityState / Province

Postal / Zip CodeCountry

Is this a residential or business address?

ResidentialBusiness

Host Contact Cell Phone*

Area CodePhone Number

Site for Try Play™ Clinics*

Site Address (If different from Host Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How many tennis courts does your facility have?*

ex. 4

What is the surface of your tennis courts?*

ex. clay, hard, indoor

Local League Area*

Max # of players per session?*

Player registration fee*

Reminder that NCTA takes out $6 of of each registration and STRIPE takes out an additional small fee (3.5% + 50 cents of player registration fee)

Additional Information About Site/Format of session

Instructor Name*

First NameLast Name

Instructor Email*

Instructor Cell Phone*

Area CodePhone Number

Additional Instructor's Names

Please provide first and last names

Instructor Qualifications (Select only one)*

PTR CertificationUSPTA Certification4.0 NTRP Rating or higherOther

Proceeds payable to (name of organization & accurate mailing address):*

Length of Clinics*

The Try Play™ session must be 4-6 hours of instruction/play time

Try Play™ Start Date and Time*