In Motion Outdoors Grant Application

Grant Application Information

Organization Name:

Email: *

Phone *:

Fax *:

Address *:

Address 2:

City *:

State *:Province *:

Zip/Postal Code *:

Country *:

Individual Applying for Grant *:

Position or Relation to Organization *:

Tell Us a Little About Your Project

Do you currently have playground equipment at this location? Yes No

If so, what is the approximate age of the equipment?

• What are the main goals of your project? Select the goals that apply to your project.
• Replace existing equipment for safety reasons.
• Add additional equipment to accommodate more children.
• Create a playground that is more accessible to children with special needs.
• Other

Have you fundraised for this playground project? Yes No

If so, what is the approximate budget for equipment only?

What is your desired start date?