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2. ORGANIZATION INFORMATION
4. Name of Organization*
5. Amount of funding requested*
7. Tax ID Number*
8. If you do not have a Tax ID number, has one been requested?

   1. Yes

   1. No
10. Mailing Address*
12. Address2
14. City*
15. State*
16. Zip*
18. Chair/President/Commissioner
20. First Name*
21. Last Name*
23. Phone*
24. Email*
26. Treasurer
28. First Name*
29. Last Name*
31. Phone*
32. Email*
34. Purpose of organization*
38. FUNDING INFORMATION
40. Amount of funding request*
42. Budget Information Worksheet*
43. Youth Sports Funding Budget Information Worksheet
    2022 Budget Information Worksheet

    Please download, fill in, save, and upload the provided budget information worksheet.

45. Please describe, in itemized detail, how the funds received in 2022 were spent:*
47. How many scholarships were awarded by your organization in 2022?
49. Please describe how the requested funding for 2023 will be used:*
51. What other sources have you pursued to obtain funding?*
53. Please upload any documents that will assist in establishing the funding history of the organization:
55. Funding History Documents
56. Funding History Documents
58. Funding History Documents
59. Funding History Documents
61. Do you have a Facility Use Agreement with the Town of Mammoth Lakes?*

    1. Yes

    1. No
62. Are any Town/County resources (e.g., parks, fields, or facilities) used by the organization?*

    1. Yes

    1. No
64. If yes, indicate the nature of the usage, the estimated number of participant hours, and any expenses incurred by your organization for the prep and maintenance of the facility used by your organization.
68. PROGRAM INFORMATION
70. Duration of the program's season (days per year):*
72. Number of registered youth participants in 2022*
74. Number of Mono County full-time residents:*
76. Number of adult volunteer hours involved with the program (specific program set up, maintenance, etc. - provide details):*
78. What type of measures or procedures do you take to promote good sportsmanship among the players, coaches, and parents? Are there policies in place to discourage abusive behavior and language towards participants, coaches, and officials?*
80. Outside of your program, what type of community programs or projects does your organization participate in?
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field