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Please answer the following questions below.  The Member of the Week will receive a USTA Georgia gift package, a certificate of appreciation and recognition on the USTA Georgia website. The USTA Georgia Member of the Week program is open to any adult or junior Georgia resident with a current USTA membership. One entry per person. A member may only win one time per year.
 
Name:   USTA Number:  
   
Age:              NTRP Level:     E-Mail Address:
   
Mailing Address:
   
What brand of racquet are you currently using?
(eg Wilson K Factor KFour)
   
What is the name of your home courts?
   
Do you take coaching?     If yes, who is your coach?
 
   
What USTA league(s) do you participate in?
(ex. Adult, Mixed, Junior Team Tennis, etc.)
   
Do you participate in Tournaments?   

State Ranking        

 

Sectional Ranking        

 

National Ranking        

   

Who is your favorite professional tennis player?
 (current or past)

   
What is your biggest tennis accomplishment?  
   
What is an interesting fact about you?  
   

Photo should be an individual head shot (not a group photo)

     
  head shot example  
   
 

Use the Browse... button below to locate your photo on your computer

 

When you have completed the form, print a copy for your records,
 read the release agreement below and click the "I AGREE" button below.

   
 


GEORGIA TENNIS ASSOCIATION INC.
LIKENESS RELEASE AGREEMENT
 

 
  In consideration for my participation in the 2009 Member of the Week Contest, I hereby irrevocably grant to the Georgia Tennis Association Incorporated (“USTA Georgia”), their affiliates, subsidiaries, successors, assigns, and licensees, the worldwide right to use, separately or together with others, my name, picture, likeness and/or biographical materials, for the purpose of, but not limited to, the USTA Georgia’s website for the Member of the Week contest.

I hereby release and agree to hold harmless both USTA Georgia from any and all claims of any kind which I, my heirs, executors and assigns, may have on account of participating in the Contest and the use of any photographs, videos or any other media generated as a result of my participation in the Contest.

I waive and release any and all rights and claims against USTA Georgia and/or its employees for any injury or loss suffered while participating in this Contest.
 

 






 
 

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