Let's Go 1-2-3's Referral Form for Assistance
Welcome to Let's Go 1-2-3's Referral Form for those that may need assistance in order to participate in an outdoor experience.  Our organization is excited to help make that opportunity happen for you, someone you know, a group, or deserving organization.  In order to get started, please complete this brief form.  We accept submissions on a rolling basis so there is no deadline for when you must submit. You may complete more than one assistance form, but you will only be eligible to receive one award of support per year, if selected.

Please NOTE: Let's Go 1-2-3's assistance does not FULLY plan or fund outdoor experiences.  It is our hope that the general legwork for making an outdoor experience happen is already done.  This means that a general concept for the outdoor experience has been developed, there is an idea for timeframe(s) and/or locations, as well as permission received from any required people/parents/students before reaching out to our organization.  We may not be able to assist with every formal need or financially cover exactly what you ask for, but our goal is to alleviate at least one barrier to an outdoor activity so that people can take next steps for helping our environment.  We appreciate your interest and look forward to connecting.
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Email *
Your First Name *
Your Last Name *
Your Email Address *
Your Phone Number *
Will you be the contact person for this request?  If not, be sure to include that person's information in the next section. *
Who is this assistance for? If it is not for your(self)/family, please include the name of the person, teacher, group, school, organization, etc. that this assistance would benefit. *
What type of Let's Go 1-2-3 assistance is needed (check more than 1 if applicable). NOTE: You will be able to explain further in the next question. *
Required
Tell us briefly (no more than 5 sentences) about the outdoor experience being planned, what is a barrier to making it happen, how Let's Go 1-2-3 can help, and what will be the next step after the experience is complete. *
Can you tell us a little bit of demographic information about the person(s)/group in need of assistance?  You can list things like; Ethnic/Racial background, Socio-economic group, Gender, Parent dynamic, City/Zip code(s), History of experience, etc. and anything else you may want to provide.  *
Anything else you would like us to know?
Thank You! Next Steps:
Thank you for completing this short assistance request form.  We accept submissions on a rolling basis, with confirmation emails sent weekly (usually on Fridays).  We review assistance requests monthly as part of Board Meetings and you will receive notification of assistance by the 1st of the month following the board meeting at which your submission is reviewed.  In the event that you have questions or need assistance, you can email: info@letsgo123.org (please allow 24-48 hours for response).
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