Zimmerman/Johnson USTA National Tournament - Wild Card Request Form

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* 1. Player Name (Last, First):

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* 2. Player Email Address:

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* 3. For which division(s) are you requesting a Wild Card? If applying for a Wild Card in more than one division, please check all applicable divisions.

Boys' 18 Division

Boys' 16 Division

Boys' 14 Division

Boys' 12 Division

Girls' 18 Division

Girls' 16 Division

Girls' 14 Division

Girls' 12 Division

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* 4. Player USTA Number (REQUIRED):

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* 5. Please provide a detailed reason for requesting a Wild Card. Please consider including: your ITF ranking (if any); USTA standing in the next younger division that you are applying for.