HealthSPORT Donation Request
HealthSPORT provides an environment for people to pursue and experience their health in a community of all ages. At HealthSPORT, we are active in community development and the support of community events and organizations. We welcome you to fill out our donation request form and we will contact you within 48 hours.

All requests must be submitted via this form; phone and in house solicitations are no longer accepted and will not be returned. Requests should be submitted at least two weeks in advance of an event to allow for review. All donations are made in the form of a HealthSPORT gift certificate or service, which may be used as auction items, raffle prizes or for other fundraising efforts.


Thank you and have a healthy.fit. day!

-HealthSPORT

City *
Organization Information
Name of Organization *
Your answer
Tax ID # (if applicable)
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Email Address *
Your answer
Name of Contact *
Your answer
Has Your Organization Received a Donation From HealthSPORT In the Past? *
Required
Event Information
Event Name *
Your answer
Date of Event *
Your answer
Purpose of the Event *
Your answer
How Will the HealthSPORT Donation Be Used/Displayed? *
Your answer
Expected Number of Attendance *
Your answer
Request Deadline *
Your answer
Submit
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