06-16-15 updated
JUNIOR GRAND PRIX TOURNAMENT DIRECTOR’S CHECKLIST
to
Dates
Tournament Name
Enclosed:
1.
2.
3.
Referee draw sheet form (NOT draw sheets)
Code of Conduct Report (if any)
All taxes and fees applicable below
Indicate number of people entered in each event:
RK=Ranked
DOUBLES
10’s
RK
12’s
UR
RK
UR=Unranked
14’s
UR
RK
16’s
UR
RK
18’s
UR
RK
TOTAL
UR
BOYS
GIRLS
TOTAL DOUBLES
SINGLES
10’s
RK
12’s
UR
RK
14’s
UR
RK
16’s
UR
RK
18’s
UR
RK
TOTAL
UR
BOYS
GIRLS
TOTAL SINGLES
TOTAL ALL ENTRANTS
# of SINGLES __
LTA OFFICE USE ONLY
date recv’d: ___________________
X $1.50 = $
LATE FEE ($250)
$
GRAND TOTAL PAID TO LTA $
recv’d by: ___________ CK# __________
Mail paperwork and $1.50 fee within 15 business days to:
USTA Louisiana
9270 Siegen Lane, Suite 702
Baton Rouge, LA 70810
225-769-0337 phone
225-769-0347 fax
Make check for $3/per singles player to: La Junior Grand Prix
Mail check to Ed Gaskell – c/o Bocage Racquet Club
7600 Jefferson Highway, Baton Rouge, 70809
06-16-15 updated
CODE OF CONDUCT REPORT
MAIL WITHIN 48 HOURS TO:
USTA/SOUTHERN SECTION/LOUISIANA
USTA-Louisiana
9270 Siegen Lane, Suite 702
Baton Rouge, LA 70810
PLAYER’S NAME: ____________________________ DISTRICT: __________________________
TOURNAMENT NAME: ____________________________________________________________
AGE DIVISION: _______________ DATE: ______________
USTA#: _____________________ DATE OF BIRTH: ______________________
TOURNAMENT REFEREE: _________________________________ PHONE: _________________
POINT PENALTIES
DATE
DRAW
VIOLATION
DESCRIPTION
____Singles _____Doubles _____Feed-in
___Point ___Game ___Default
_______________________________
_____Singles _____Doubles _____Feed-in
___Point ___Game ___Default
_______________________________
_____Singles _____Doubles _____Feed-in
___Point ___Game ___Default
_______________________________
** The player named above has been notified of the violations stated in this report and a copy has been mailed
to the USTA / Southern Section.
PLAYER’S SIGNATURE (REFEREE’S, IF PLAYER REFUSES TO SIGN)
REFEREE’S SIGNATURE
DATE
DATE
06-16-15 updated
Tournament Referee’s Draw sheet Confirmation
I certify that the tournament results for the following tournament have been posted to
www.tennislink.com. I also certify that all tournament results for this tournament are
correct.
Tournament Name:
Sanctioned Dates:
Host Club:

Check here if results were corrected / changed.
I understand that if any of the tournament results need to be changed / corrected, I
must contact the LTA office as well as turn in this form with each correction / change.
Tournament Referee PRINT
Tournament Referee SIGNATURE
Date
06-16-15 updated
This form can be mailed to 9270 Siegen Lane Suite 702 Baton Rouge, LA 70810 OR faxed to 225-769-0347.
2016 Sanction
Applications due
Monday October 19,
2015!