Application for USATT Club Coaching Tour

USATT Affiliated Club_________________________________ Expiration Date____________

City/State_______________________

Number of tables_______ Hours open for training _____________________________________

Other info about club (attach additional sheet, if applicable)

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Contact Person_________________________________________ Email___________________

Address_______________________________________________________________________

Phone number__________________(h) __________________ (w) ___________________(fax)

Dates applying for (give three tentative camp dates, 5-6 days in length)

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At least ten USATT members must sign below. (You may get more – use additional sheets if necessary. Extra signatures may help in the selection process.)

By signing below, I certify that I plan on attending the USATT Coaching Clinic at my club. This does not obligate me, but only shows my intention, if the times and dates are appropriate.

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