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USTA Adaptive Tennis Program Registration

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Program State
Program Name  
Program Contact
Contact Phone Number
Contact Email Address
Program Location Name
Program Location Address
Program Location City
Program Location Zip Code
Please list the program's website (if any).  If none, please write N/A.
Age Group Served
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Description of Program
Please write 1-2 sentences that you feel represents your program and would like to share with USTA
Which of the following best describes your program?
Check all that apply
Duration of Program
Check all that apply
Population Served *
Check all that apply
How many athletes does the program serve?
How many coaches does the program utilize?
How many volunteers are involved in the program?
Is your program registered as any of the following:
Check all that apply
Has this program received USTA grant funding from any of the following:
Check all that apply
If you know of any other adaptive tennis programs in your area, please list them here.
On behalf of the USTA, thank you for your time and all you do for adaptive tennis! Please note it may take up to 4 weeks for your programs to appear on the USTA National Adaptive webpage.
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