Entire Mailing Address: INCLUDE STREET ADDRESS, CITY, STATE & ZIP CODE
Phone Number
Date of Birth
Please provide USTA Membership # for MID-TAC Draw purposes only.
Name of parent/adult completing this Application:
Boy's Singles Division
Please Note: For 8/under – red felt ball, 36’ court
Please Note: For 9 & 10 - orange ball, 60’ court
Please Note: For 10/under – green dot ball, 78’ court
Boy's Singles Division (12s, 14s, 16s, 18s DRAWS CAP AT 16 PLAYERS)
(optional)
Please select
Boy's 8/under Singles $31.00
Boy’s 9 & 10 Singles $31.00
Boy's 10/under Singles $31.00
Boy's 12 Singles $31.00
Boy's 14 Singles $31.00
Boy's 16 Singles $31.00
Boy's 18 Singles $31.00
Boy's Doubles Division
Boy's Doubles Division
(optional)
Please select
Boy's 10 Doubles $21.00
Boy's 12 Doubles $21.00
Boy's 14 Doubles $21.00
Boy's 16 Doubles $21.00
Boy's 18 Doubles $21.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for Double's Partner also
($21.00 extra)
(optional)
Girl's Singles Division
Please Note: For 8/under – red felt ball, 36’ court
Please Note: For 9 & 10 - orange ball, 60’ court
Please Note: For 10/under – green dot ball, 78’ court
Girl's Singles Division (12s, 14s, 16s, 18s DRAWS CAP AT 16 PLAYERS)
(optional)
Please select
Girl's 8/under Singles $31.00
Girl's 9 & 10 Singles $31.00
Girl's 10/under Singles $31.00
Girl's 12 Singles $31.00
Girl's 14 Singles $31.00
Girl's 16 Singles $31.00
Girl's 18 Singles $31.00
Girl's Doubles Division
Girl's Doubles Division
(optional)
Please select
Girl's 10 Doubles $21.00
Girl's 12 Doubles $21.00
Girl's 14 Doubles $21.00
Girl's 16 Doubles $21.00
Girl's 18 Doubles $21.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for Double's Partner also
($21.00 extra)
(optional)
Boy’s Novice
Boy’s Novice
(optional)
Please select
12 and under singles $26.00
14 and over singles $26.00
Girl's Novice
Girl's Novice
(optional)
Please select
12 and under singles $26.00
14 and over singles $26.00
2022 JUNIOR WORKSHOP DONATIONS
2022 JUNIOR WORKSHOPS
(optional)
Please select
Junior Workshop Donation $25.00
Junior Workshop Donation $50.00
Junior Workshop Donation $50.00
Junior Workshop Donation $100.00
Waiver Information
PARTICIPANT OR GUARDIAN MUST SIGN THE FOLLOWING WAIVER
I understand that acceptance of my entry is without assumption of responsibility of any kind by MID-TAC, the City of Indianapolis, Indiana, Carmel Racquet Club, Tarkington Park, Riverside Park (aka Marion I. Rice Tennis Courts), Indianapolis Racquet Club, any tournament officials, or their members or agents. In consideration of the acceptance of my entry, I do forever release and discharge the aforementioned from any and all claims and demands of any kind, which may be suffered and sustained by me in connection with my activities during the period for which such permission is granted and the period traveling to or from the event described and all claims are hereby waived and released and I promise not to sue.
Parents Signature ( Parents, if under 18 )