USA Pickleball ServesClinic Impact ReportAmbassadors please complete the form below with details from your community-focused clinic.Ambassador Name(Required) First Last Contact Email(Required) Contact PhoneClinic Date(Required) Month Day Year Clinic Location Facility NameClinic Location Address(Required) City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Primary Audience(s)(Required)Select all that apply Youth School Nonprofit Veterans Boys and Girls Club Underserved Community OtherDescribe Other(Required)Partner Organization, if anyParticipationTotal Individuals Served(Required)Youth Served(Required)Ambassadors or Volunteers EngagedParticipants Who Receive Free or Reduced-Cost Lunch Through School or Community ProgramParticipant ConnectionWere participants connected to any Local Clubs or Programs(Required) Yes NoWhere participants introduced to a USAP Ambassador or Local Coach(Required) Yes NoQuick ReflectionWhat went well?(Required)Any challenges, needs, or follow-up opportunities?(Required)MediaLink to Media FilesProvide link to DropBox, Google Drive, or other online cloud storage that contains media assets from the event. If you prefer you can upload up to 5 images below.Upload associated media from eventInclude images from event. Max 5 images Drop files here or Select filesAccepted file types: jpg, gif, png, pdf, Max. file size: 5 MB, Max. files: 5.
