Contact Information
County
*
Please Select
Alachua
Baker
Bay
Bradford
Brevard
Broward
Charlotte
Citrus
Clay
Collier
Columbia
DeSoto
Duval
Escambia
Flagler
Gadsden
Hamilton
Hernando
Hillsborough
Indian River
Jackson
Lake
Lee
Leon
Manatee
Marion
Miami-Dade
Monroe
Nassau
Okaloosa
Orange
Palm Beach
Pasco
Pinellas
Polk
Putnam
Santa Rosa
Sarasota
Seminole
St. Johns
St. Lucie
Sumter
Taylor
Volusia
Wakulla
Walton
Washington
Primary Contact First Name
*
Last Name
*
Title
*
Address
*
City
*
Zip
*
E-mail
*
Phone
*
Request Narrative
# of CHILDREN participating in tennis
*
# of ADULTS participating in tennis
*
Tennis program location(s)
*
List days & hours tennis training and competition will take place
*
List names, credentials & training of staff/volunteers relevant to your tennis program
*
List any community partners that are assisting with your tennis program
*
Program Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Program End Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Request
Attach Equipment Request Form
Select File
Cancel
of
Agreement
County programs will will provide any information reasonably requested by Special Olympics Florida and/or USTA Florida Section Foundation regarding your progress in achieving the goals of the program and the accounting of all granted equipment.
I agree to the terms above
*
true
Submit
Should be Empty: