Please complete the following as completely as possible. Our team will review your request and be in touch with next steps. Individual requests are reviewed on a rolling basis, while larger educational and community requests will be reviewed annually.

Name *
Name
Address *
Address
Phone *
Phone
If your application is selected, please be prepared to provide supporting documentation.
$
Please submit a brief preliminary explanation of the type of program for which you are requesting support. How will this activity impact the beneficiary? What sort of challenges are currently preventing you or your child from being active? Why should the board consider your request?