Entire Mailing Address: STREET ADDRESS, CITY, STATE & ZIP CODE
Phone Number
Date of Birth
Please provide USTA Membership # for MID-TAC Draw purposes only.
If # needed go to usta.com/TennisLink to create USTA Account @ no charge.
(optional)
Men's Singles Division
Men's Singles Division
(optional)
Please select
Men's Open Singles $46.00
Men's 50 Singles $46.00
Men's 55 Singles $46.00
Men's 60 Singles $46.00
Men's 65 Singles $46.00
Men's 70 Singles $46.00
Men's 75 Singles $46.00
Men's 80 Singles $46.00
Men's Doubles Division
Men's Doubles Division
(optional)
Please select
Men's Open Doubles $34.00
Men's 50 Doubles $34.00
Men's 55 Doubles $34.00
Men's 60 Doubles $34.00
Men's 65 Doubles $34.00
Men's 75 Doubles $34.00
Men's 80 Doubles $34.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for REGULAR Doubles Partner here
($34.00 extra)
(optional)
Women's Singles Division
Women's Singles Division
(optional)
Please select
Women's Open Singles $46.00
Women's 50 Singles $46.00
Women's 55 Singles $46.00
Women's 60 Singles $46.00
Women's 65 Singles $46.00
Women's 70 Singles $46.00
Women's 75 Singles $46.00
Women's Doubles Division
Women's Doubles Division
(optional)
Please select
Women's Open Doubles $34.00
Women's 50 Doubles $34.00
Women's 55 Doubles $34.00
Women's 60 Doubles $34.00
Women's 65 Doubles $34.00
Women's 70 Doubles $34.00
Women's 75 Doubles $34.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for REGULAR Double's Partner here
($34.00 extra)
(optional)
Mixed Doubles Division
Mixed Doubles Division
(optional)
Please select
Mixed Open Doubles $34.00
Mixed 50 Doubles $34.00
Mixed 55 Doubles $34.00
Mixed 60 Doubles $34.00
Mixed 70 Doubles $34.00
Mixed 75 Doubles $34.00
Mixed 80 Doubles $34.00
Mixed 65 Doubles $34.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for Regular Mixed Doubles Partner here
($34.00 extra)
(optional)
Men's Singles NTRP Rating Division
Men's Singles NTRP Rating Division
(optional)
Please select
Men's 3.5 Singles $46.00
Men's 4.0 Singles $46.00
Men's 4.5 Singles $46.00
Women's Singles NTRP Rating Division
Women's Singles NTRP Rating Division
(optional)
Please select
Women's 3.5 Singles $46.00
Women's 4.0 Singles $46.00
Women's 4.5 Singles $46.00
Men's Doubles NTRP Rating Division
Men's Doubles NTRP Rating Division
(optional)
Please select
Men's 3.5 Doubles $34.00
Men's 4.0 Doubles $34.00
Men's 4.5 Doubles $34.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for Double's Partner also
($34.00 extra)
(optional)
Women's Doubles NTRP Rating Division
Women's Doubles NTRP Rating Division
(optional)
Please select
Women's 3.5 Doubles $34.00
Women's 4.0 Doubles $34.00
Women's 4.5 Doubles $34.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for Double's Partner also
($34.00 extra)
(optional)
Mixed Doubles NTRP Rating Division
Mixed Doubles NTRP Rating Division
(optional)
Please select
Mixed 3.5 Doubles $34.00
Mixed 4.0 Doubles $34.00
Mixed 4.5 Doubles $34.00
Know your Doubles Partner's Name. Provide details below: name, date of birth and phone number.
(optional)
Pay for NTRP Mixed Double's Partner also
($34.00 extra)
(optional)
2022 JUNIOR WORKSHOP DONATIONS
2022 JUNIOR WORKSHOP
(optional)
Please select
Junior Workshop Donation $25.00
Junior Workshop Donation $50.00
Junior Workshop Donation $75.00
Junior Workshop Donation $100.00
Waiver Information
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, Indianapolis Racquet Club, 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.
