INBOUND INTERSTATE TOURING REQUEST
TOURNAMENT INFORMATION
Official Name of Tournament
*
Date of Tournament
*
-
Month
-
Day
Year
Date
Location of Tournament (City and Country)
*
Tournament Contact Name
*
First Name
Last Name
Tournament Contact Role
Tournament Contact Email
*
example@example.com
Tournament Contact Phone Number
*
-
Area Code
Phone Number
PARTICIPANT/TEAM INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Accreditation Level of Applicant (if Relevant)
Current Affiliate of Applicant/Team
*
Planned inbound travel Dates of Applicant/Team
*
-
Month
-
Day
Year
Date
Planned outbound travel Dates of Applicant/Team
*
-
Month
-
Day
Year
Date
Role Applicant will be fulfilling
*
Team
Coach
Referee
Referee Coach
Individual Player
Division Looking to Particiapte in
Open's Men
Open's Women
Open's Mixed
Age category Men
Age category Women
Age Catergory Mixed
Type a if Age category please list preference.
Signature
TFA AFFILIATED NATIONAL BODY
ENDORSEMENT INFORMATION- NSWTA will verify this endorsement.
Name of State Representative Endorsing attendance
*
First Name
Last Name
Position of State Representative endorsing attendance at event
*
State Representative Email
*
example@example.com
Submit
Should be Empty: