Genesis Omaha - Westroads
2021 Genesis Omaha Fall League

First Name*
Last Name*
Address*
City*
State*
Zip*
Email Address*
Primary Phone* 555-555-5555
Primary Phone Type*
Gender*
Birth Date* mm/dd/yyyy
NTRP Rating*
Is this a self rating or a USTA rating?*
USTA Member
USTA Membership Number
USTA Expiration Date mm/dd/yyyy
I am signing up as:*
Division/Team:
Is there anyone you would like to be on a team with?
Have you played in any other league(s)?
If yes, what other league?
What level did you play?
Have you ever played WTT before?
How did you hear about us?
If referral, who referred you?
Release Statement While Genesis welcomes and encourages all players to play WTT, non-members will be required to sign the non-member waiver prior to play.
Do you agree?*