Contact

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:

Day	Month	Year

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:

Summer Semester
Begins June 7th, 2010 through July 30 2010

Fall Semester
Begins August 18, 2010 through January 09, 2011

Winter Semester
Begins January 12th, 2011 through June 5th, 2011