Zimmerman/Johnson USTA National Tournament - Wild Card Request Form

1.Player Name (Last, First):
(Required.)
2.Player Email Address:
(Required.)
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.(Required.)
4.Player USTA Number (REQUIRED):
(Required.)
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.(Required.)
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