Given to a Central Indiana USTA League Captain who 1) excels as a captain, player, and supporter of the USTA League program; 2) demonstrates honesty, sincerity, loyalty, good sportsmanship, and leadership; and 3) is committed to growing tennis.

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* 1. Name of nominee

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* 2. Town and State of nominee

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* 3. Nominee's email

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* 4. Nominee's telephone number

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* 5. Nominator's name

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* 6. Nominator's email

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* 7. Nominator's telephone number

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* 8. How has this person excelled beyond performing the normal captain duties, including demonstrating the values of a good captain?

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* 9. Please list examples of how he/she has demonstrated support for the USTA Central Indiana league program and their commitment to growing tennis.

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* 10. Please provide any additional information in support of this nomination.

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