Lakeland Booster Club Grant Request Form
LHS Team/Activity/Club request for funds for uniforms, equipment, etc. 
Adres e-mail *
Team/Club/Group Name: *
Coach/Advisor Name: *
Contact Phone #: *
Reason for request:  *
Has the district or athletic dept. been asked to contribute?
Odznacz
Date Funds Needed: *
DD
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MM
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RRRR
Grand Total Requested: *
Amount the District &/or Athletic Department were willing to contribute *
During the course of the year, approximately how many students will benefit from this grant? *
What is the life expectancy of this item(s) on a year-to-year basis?
*
Describe the need for the item(s) you are requesting.  Please be as specific as possible:
Has your Club/Team/Group volunteered at any of the following (participation in one or
more is recommended):
*
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