Growth Catalyst Program Assistance Form

Before continuing with this form, please make sure to review the following requirements to receive assistance.

There are a limited amount of funds. We will go through and approve these requests as long as we have funds. So the sooner you submit this the more likely it will be approved. If you are interested please go ahead and fill this out.

Requirements-

Design and run a program using modified equipment for Adults. (We are really looking to have programs that are more play oriented than clinic and instruction based. While some instruction may be necessary to start, the primary focus should be on active participation and gameplay)

Run AT LEAST one 4 week session (does not have to be consecutive weeks, it could also be 4 one day events on different days throughout the year).

Must submit your program and this form AT LEAST 1 month prior to your program start date.

Must submit your program using the programming module (or Events Tab if it is for National Tennis Month) in Serve Tennis (must put "GC" in the name of the event).

Must invite USTA AL Staff (Keith Wilson - keithwilson4077@bellsouth.net) as an admin to your organization.

*Stipends will be sent the day of the start of your first program*

Name*

First NameLast Name

Email*

example@example.com

Address for equipment*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Who should a check be made out to for a stipend?*

A stipend check will be sent the day after your program start date.

Address on where the stipend check should be sent.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Organization*

Are you interested in running USTA National's "Short Court Tennis" game?

YesNo

USTA National will be able to provide the following:

Option A:

*Please note that USTA National has a very specific format they want followed in order to receive this package. If you are interested, reach out to keithwilson4077@bellsouth.net.

- 24 - 23 inch racquets

- A case of red balls

- 2 portable nets

- A USTA Quarter Zip pullover

- $720 stipend after fulfillment of all obligations

USTA Alabama will provide the following if choosing:

Option B:

• Platform: Must be in Serve Tennis
• Minimum Participants: 8 players
• Initial Incentives:
$150
23-inch tennis racquets
Red balls
• Additional Incentives:  For every additional 4 players, you receive an extra $50
• Player Cap: Maximum of 24 players per session
• Maximum Incentive: $350
• Session Duration: 1 four-week session
• Additional Charges:  Recommended fee: between $5-$20 per person

Which choice from above are you choosing:*

Option AOption B

Program Dates*

Please make sure that your program is AT LEAST 1 month from the time of your request. Time will be needed to get you equipment and organize advertising in your area to market your program.

Where will your program take place?*

How much will you charge for your program?*

Short description/purpose of your program*

Description of needed equipment and expenses for your program.*