Racing For Steve-O Foundation Individual Recreational Grant Application
Applicant must be a resident of the Michiana community (St. Joseph, Laporte, Elkhart, Starke, Marshall, LaGrange, Kosciusko, Fulton and Porter Counties in Indiana. Cass and Berrien counties in Michigan). The camp or activity they are applying for must also be a 501(c)3 non-profit charity.
Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Age of applicant *
Your answer
Name of person filling out application *
Your answer
Relation to applicant? *
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Phone Number *
Your answer
What recreational activity are you interested in. You may only choose ONE *
If activity is NOT listed above, please fill in that activity in the space below, including the cost of that activity, address and phone number of organization. (Must be a non-profit 501(c)3 charity organization that supports inclusive sports, camp and/or recreational activity. )
Your answer
Has applicant received a grant from us in the past? *
Is applicant currently participating in this chosen activity or has in the past? *
Is applicant currently registered for this chosen activity? *
If applicant has participated in the past, did they receive financial assistance directly from the organization to participate?
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