Tennis Institute  
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Located at:
Lauderdale Tennis Club
600 Tennis Club Drive
Fort Lauderdale, FL 33311
Phone: 954-764-6361
Fax: 954-764-6029

    

 


 
 

 

Information Request Form

Parent's Name:  

First:   Last:

Address:    

City:       State / Prov:

Country:    

Student's Name:  

First:   Last:

Student's Date of Birth:              
            Boy     Girl

Student's National Ranking:     Singles:       Doubles:

Student's USTA Section:  
(if applicable)  
 

*E-Mail:     *We need this to contact you!


Please select all   
required semesters:   
 

   





 

 





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