PTR On Campus Registration

Name(Required)

First Last

Phone(Required)

Email(Required)

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of Birth

Ethnicity

Gender Identity

Student ID

Please upload a copy of your current student ID.

File(Required)

Accepted file types: jpg, png, jpeg, pdf, Max. file size: 25 MB.

Membership(Required)

PTR on Campus New Member Registration

Includes:
PTR Membership
Level 1 Certification
Liability Insurance (Valid once certification is achieved)
Please email paige@ptrtennis.org to select your PTR L1 Workshop.

Total

Credit Card

Card Details

Cardholder Name

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