Please enter your request for a Wildcard

Tournament Type:

Tournament:
Gender:
Age Division:

First Name:
Last Name:
Date of birth:
Primary cell number:
Email:

IPIN #:
Country of citizenship #:
Qualifying
Main Draw
Merit Based Wild Card
If so, please list the Tournament where you earned the Merit Based Wild Card:
Brief Rationale
USTA Registered
USTA Membership Number:

USTA Section:

Serves Up Program:
	By submitting this form, I consent to the use of my contact information by the USTA and Pro Circuit event organizers in connection with this event and other USTA sanctioned events. I agree to participate in the activity that will be assigned to me by the Tournament Director as part of the Pro Circuit Serve Up Program. I give my consent to the Tournament Director to contact me via phone or email to discuss further details about the activity and my commitment to the event. *Players who are awarded a Wild Card but received direct entry without using it, are still required to participate in the Pro Circuit Serves Up Program.

Serves Up Program:

By submitting this form, I consent to the use of my contact information by the USTA and Pro Circuit event organizers in connection with this event and other USTA sanctioned events.

I agree to participate in the activity that will be assigned to me by the Tournament Director as part of the Pro Circuit Serve Up Program. I give my consent to the Tournament Director to contact me via phone or email to discuss further details about the activity and my commitment to the event.

*Players who are awarded a Wild Card but received direct entry without using it, are still required to participate in the Pro Circuit Serves Up Program.