Pucks for Autism Grant Request Form

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This form helps the Pucks for Autism board review and evaluate your funding request. Please read through the entire form before completing it in detail.

Funding is available to 501(c)(3) organizations, community groups, and schools. Please note that we are unable to provide grants to individuals.

To ensure we can support a wide range of community services, we award only one grant per organization per calendar year.

Requester Name *

Requester Email *

Requester Phone Number *

Requester Address *

Relationship to Grantee

Additional Information

Have you been involved with any Pucks for Autism events?

Yes, I've played in a PFA tournament

Yes, I've donated.

Yes, I've volunteered.

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