1. Coach’s Name:

2. Institution:

4. Men’s or Women’s:

6. Business Address:

7. Office Phone Number:

8. Cell number:

9. E-Mail:

Date selection-- Please list 3 possible dates that you could host a Campus Kids’ Day:

10. 1st Choice:

11. 2nd Choice:

12. 3rd Choice:

Campus Kids Day guidelines and suggestions are posted on both the USTA and ITA websites. All questions regarding these events should be directed to Troy Venechanos, Coordinator, Collegiate Tennis.

Note: You will be notified upon registration if your program qualifies for the $100 grant. Grants are available to the first 60 schools to sign up. If you do qualify, please fax or e-mail head count and receipts to Troy Venechanos (information below) upon completion of your Campus Kids’ Day.

Troy Venechanos
office: (914) 872-5645