Organization Name
Street
City
State/Province
Zip/Postal Code
County
Please select...
Washington, DC
Montgomery County, MD
Prince George's County, MD
Howard County, MD
Frederick County, MD
Washington County, MD
Alleghany County, MD
Garrett County, MD
Charles County, MD
Carroll County, MD
Saint Mary's County, MD
Calvert County, MD
Hartford County, MD
Cecil County, MD
Baltimore City, MD
Baltimore County, MD
Kent County, MD
Queen Anne's County, MD
Caroline County, MD
Talbot County, MD
Dorchester County, MD
Wicomico County, MD
Worcester County, MD
Somerset County, MD
Fairfax County, VA
Alexandria City, VA
Arlington County, VA
Clarke County, VA
Culpeper County, VA
Fairfax City, VA
Fauquier County, VA
Frederick County, VA
Fredericksburg City, VA
Prince William County, VA
Rappahannock County, VA
Spotsylvania County, VA
Stafford County, VA
Warren County, VA
Winchester City, VA
Other
Anne Arundel County, MD
Delaware County, PA
Bucks County, PA
Montgomery County, PA
Chester County, PA
Lehigh County, PA
Berks County, PA
Lancaster County, PA
York County, PA
Camden County, NJ
Burlington County, NJ
Gloucester County, NJ
Salem County, NJ
Cumberland County, NJ
New Castle County, DE
City of Philadelphia
First Name
Last Name
Email
Account Phone
Website
How did you hear about Leveling the Playing Field? Please be as specific as possible.
Which of our two warehouses are more convenient for you to visit?
Baltimore, Maryland
Philadelphia Area
Silver Spring, Maryland
Neither; I am part of an out-of-state/international program
Mission Statement
Please describe the demographics of your organization (age, gender, economic status, education, etc.). Please also include FARM student information.
Explain how you are currently using sports as a vehicle to teach children valuable life skills.
What is your current athletic budget? Do you receive any money from the city/county for athletics?
Where have you received equipment up to this point (athletic budget, family donations, out-of-pocket from teachers, etc.)?
Have you partnered with other outside recreational programs in the past in terms of funding or equipment grants? If so, please identify and explain the partnership.
What current facilities do you have/use for for athletics (gymnasium, fields, track, etc.)?
What sports do you currently offer?
Basketball
Football
Soccer
Tennis
Lacrosse
Hockey
Baseball
Softball
Golf
What other sports do you hope to offer?
If you would like us to tag you on social media please share any handles you have!
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Twitter
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