2008 CAMP SCHOLARSHIP DONATION FORM
CAMP INFORMATION
Camp Name:
Address:
Phone:
City and State:
Zip Code:
Website:
Alternate
Phone:
Day camp
Overnight camp
CAMP DIRECTOR OR NAME OF CONTACT FOR CAMP
Name:
Phone:
Address:
Cell Phone:
If different
from above
City and State:
Zip Code:
Email:
DONATIONS:
1.
2.
3.
PLEASE LIST THE SESSION DATES BELOW
PLEASE CHECK RANKED OR UNRANKED TO DETERMINE WHICH TYPE OF PLAYER IS GEARED TOWARDS THE
CAMP SESSION THAT YOU WOULD LIKE TO DONATE
PLEASE ENCLOSE ONE BROCHURE FOR EACH SCHOLARSHIP GIVEN
Scholarship 1
(List dates):
Scholarship 2
(List dates):
Scholarship 3
(List dates):
Scholarship 4
(List dates):
Scholarship 5
(List dates):
Ranked
Unranked
Ranked
Unranked
Ranked
Unranked
Ranked
Unranked
Ranked
Unranked
OFFICE USE ONLY
S#1 Camper
awarded:
Comments:
S#2 Camper
awarded:
S#3 Camper
awarded:
S#4 Camper
awarded:
S#5 Camper
awarded:
All Applications must be received by April 30, 2008
RETURN TO: USTA Eastern Camp Scholarship Program
Attn: Jocelyn Cruz
4 West Red Oak Lane, Suite 300
White Plains, NY 10604
Fax: 914-694-2402
Email: jcruz@eastern.usta.com