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USTA Adaptive Tennis Program Registration
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Program State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
Lousiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Puerto Rico
International
Program Name
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Program Contact
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Contact Phone Number
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Contact Email Address
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Program Location Name
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Program Location Address
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Program Location City
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Program Location Zip Code
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Please list the program's website (if any). If none, please write N/A.
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Age Group Served
Youth (18 and younger)
Adults (over 18)
Both
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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
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Which of the following best describes your program?
Check all that apply
1 day introduction
Clinic/Lesson
Adaptive PE in a school setting
Competitive/Tournament
Camp
Other:
Duration of Program
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Daily
Weekly
Monthly
Seasonally
Annually
Other:
Population Served
*
Check all that apply
Cognitive & Developmental (Autism, Down Syndrome, Cognitive Disability, Traumatic Brain Injury)
Physical & Recovery (Impairments of hearing, vision, & orthopedic, Cystic Fibrosis, Muscular Dystrophy, Stroke, Amputee, Spinal Cord Injury)
Emotional & Social (Mental, Physical, Substance, Environmentally Disabled, Post-Traumatic Stress Disorder)
Required
How many athletes does the program serve?
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How many coaches does the program utilize?
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How many volunteers are involved in the program?
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Is your program registered as any of the following:
Check all that apply
Community Tennis Association (CTA)
Non-Profit Organization with 501(c)3 Status
Has this program received USTA grant funding from any of the following:
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Local Tennis Association
State Tennis Association
Section Tennis Association
National Tennis Association
None of the Above
If you know of any other adaptive tennis programs in your area, please list them here.
Your answer
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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