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Membership Registration Form
Membership is free. Our mission is to unite the Tennis players of Palm Beach County with the purpose of promoting and developing the game of Tennis so that players of all ages and abilities can enjoy this lifetime sport. The PBCTA is supported by grants, corporate sponsors, patrons and friends of Tennis.
 
Member ID  New Member
* First Name 
* Last Name 
* Gender 
 Address 
 City 
 State 
 Zip Code 
* Phone#    ###-###-####
* E-mail 
* PBCTA Password 
Birth Day    MM/DD/YYYY
  I play Tennis at
  Other facility
  Level of Play - USTA Rating
 Unsure - Need FREE Pro Rating
 2.5     3.0     3.5     4.0   
 4.5     5.0     5.5     Self Rated   
  Rated by Pro 
* = Required 
 
  
  Preferred Type of Play
 Singles     Doubles     Mixed Doubles-Couples   
 Leagues     Local Tournaments     Mixed Doubles-Singles   
 Round Robins     Social Play     USTA Tournaments   
 Clinics     Holiday Events     
  Availability
 Annual Resident
 Seasonal Resident (check off months below)
 January  February  March  April
 May  June  July  August
 September  October  November  December
  Mon Tue Wed Thu Fri Sat Sun          
Morning 
Afternoon 
Evening 
Comments
         
PBCTA - Palm Beach Community Tennis Association
353 US Hwy One - Jupiter, FL 33477 - Telephone: 561-744-7146