Adopt-a-Gym Recipient's Application

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Please respond to the following questions to determine your need for being a recipient of an Adopt-a-Gym donation.

Email *

School's name *

School's full mailing address (please include street, city, state & zip) *

School District *

Contact's Name and Position *

First and last name - Position

Phone number *

What is your Twitter handle?

How many students in your school? *

What percentage of your students receive free/reduced lunch? *

What is your annual physical education budget? (Including funds from PTA) *

Please describe your current equipment situation. *

Have you been referred by a donor school? If so, who? *

Send me a copy of my responses.

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