2020-2021 BPTC Adult Membership Form
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Email *
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Membership Status *
Title *
Given (First) Name *
Surname (Last) Name *
Preferred or Nickname
Gender
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Birthday
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/
DD
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YYYY
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Contact Preference *
Level of Play (Self-Defined) *
USTA NTRP Rating (if known)
Ladder Participation (included in 2020-2021 prorated Membership Dues. Please Select All that Apply)
Doubles Partner's Name (Women's)
Doubles Partner's Name (Men's)
Doubles Partner's Name (Legend's)
Mixed Partner's Name
Need a Partner? (check all that apply)
Would you be interested in volunteering to support our Youth Program? *
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