NOTE: Forms submitted before Nov 27, 2021 will be discarded and not considered for funding.
All applicants must provide proof of non-profit status or fiscal sponsorship (e.g., IRS 501(c)(3) filing, registration with the Wyoming Secretary of State, affiliation with entities like Lander City Parks or Lander Community Foundation, etc.).

LDRB Contact Information: Lander District Recreation Board, PO Box 1673, Lander, WY 82520; website: landerrecboard.org
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Email *
Name of Your Organization *
Mailing Address (St/PO Box; City, State, Zip): *
Contact Name: *
Contact Phone *
Contact Email:
Spokesperson (if different than contact) Name, Phone, Email: *
President of Organization - Name, Phone, Email:
Vice-President of Organization - Name, Phone, Email:
Secretary of Organization - Name, Phone, Email:
Treasurer of Organization - Name, Phone, Email:
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