2015 Summer Camp Scholarship Application ** Due to NCAA Regulations, all applicants attending a summer tennis camp that is held on a College/University campus must be 13 years and under at the time of the camp. If you are older than 13, please use the "camp of your choice” to apply for any other tennis camp not held on campus. Due by 5pm on Monday April 6th, 2015.

Name of Applicant: ______Name of Parent/Legal Guardian: ______Address: ______Street City State Zip

Email Address: ______Phone: ______

Birth Date: ______Female ______Male ______

USTA Member # ______(USTA membership is required)

NJTL Chapter/Program Name and ID # (If Applicable) ______

1. USTA Participation (Ex. Junior Team Tennis, NJTL, Tournaments): ______2. Please include an example of how you have shown good sportsmanship in tennis/athletics (one page or less).

3. Please rank your camp choices (13 years or younger ONLY, otherwise, use “camp of your choice”)

Rank Camp Comments Website Adidas Tennis Camp 1 week overnight camp in Southern section www.tennsicamper.com Clemson Tiger Tennis Camp 1 week overnight camp www.clemsontenniscamp.com Nike Tennis Camps 1 week overnight camp www.ussportscamps.com Nike Tennis Camps 1 week day camp www.ussportscamps.com University of the South 1 week overnight camp http://tenniscamps.sewanee.edu

 Camp of your Choice (Please include camp Name, City, State, Contact Person and desired dates/times) ______

Please return to: USTA Southern Camp Scholarships Attn: Yasmine Osborn 5685 Spalding Drive, Peachtree Corners, GA 30092 Fax: 770-368-9091 / Email: [email protected]