Lessons for Life registration form |
| Name: |
| Member No.: Division: |
| Facility name: |
| Street address: |
|
City: ZIP: |
| Event description |
| Date of event: |
|
Amount raised: |
| Charity benefited: |
| Other USPTA pros involved: |
| Name: Member No. (if applicable): |
| Name: Member No. (if applicable): |
| Name: Member No. (if applicable): |
| Name: Member No. (if applicable): |