The American Patform Tennis Association
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Please enter name and related details
*First Name:     
*Last Name:     
Suffix:  
Email Address:     
*Birth Date (mm/dd/yyyy):     
Gender:  
Please enter contact details
*Mailing Address 1:     
Mailing Address 2:     
*City:     
*State:     
*Province:     
Country:  
*Zip:     
*Home Phone:   - -  
Work Phone:   - -  
Cell Phone:   - -  
Choose Primary Phone:  
Fax:   - -   
League:  
Company:  
Club:     
Hide your contact information from other members?
Please enter a secret answer to any of these questions
In the event that you lose your APTA Member Number or Password, we will use this to retrieve it for you
Secret Question:  
*Secret Answer:     
Please select your region and type of membership you want
Please click here to find out which region you are associated to
*Region:     
*Choose Membership Type:  

Please enter membership details for each Junior.
With a family membership, you can add up to six Junior members
*Junior 1 First Name:  
*Junior 1 Last Name:  
Email Address:  
*Birthdate (mm/dd/yyyy):  
Gender:  
 
*Junior 2 First Name:  
*Junior 2 Last Name:  
Email Address:  
*Birthdate (mm/dd/yyyy):  
Gender:  
 
*Junior 3 First Name:  
*Junior 3 Last Name:  
Email Address:  
*Birthdate (mm/dd/yyyy):  
Gender:  
 
*Junior 4 First Name:  
*Junior 4 Last Name:  
Email Address:  
*Birthdate (mm/dd/yyyy):  
Gender:  
 
*Junior 5 First Name:  
*Junior 5 Last Name:  
Email Address:  
*Birthdate (mm/dd/yyyy):  
Gender:  
 
*Junior 6 First Name:  
*Junior 6 Last Name:  
Email Address:  
*Birthdate (mm/dd/yyyy):  
Gender:  
  
  
  
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