Gotham Tennis Academy’s Hamptons 20-Ball Tournament: Player Application
Napeague Tennis Club, Amagansett, NY
Tournament Date: July 5, 2009
Qualifier: June 29th, 2009


All fields are required for submission.

Contact Information
First Name*:
Last Name*:
USTA Number:
Email Address*:
Cellphone Number*:
Home Address*:
Country*:
Date of Birth*:

Gender*
Male
Female

Current Level of Tennis*
Professional
Amateur

Please provide any professional ranking and recent tournament seeding information:

How did you hear about Hamptons 20 Ball and Gotham Tennis Academy?*


I understand and acknowledge that the risk of injury is inherent in any program involving physical activity. I,*hereby waive and release any and all full rights and claims for damages I may have against NAPEAGUE TENNIS CLUB, Gotham CITY Tennis, LLC, Doug Degroot, The Hamptons Tennis Company, Amagansett Beach and Bicycle, the program directors, and tennis professionals, for any and all injuries sustained by the player. This includes transportation to and from the program in connection with any participation in programs at the napeague tennis club. I so hereby give my consent to medical emergency or otherwise, inclusive of necessary transportation in order to receive treatment in the event of injury or any other illness.


I understand that the Main Draw entry fee is $100 and the Qualifying Draw entry fee is $50.