KABOOM! Playground Grant Application 

CONTACT INFORMATION
Primary Contact





Secondary Contact





ORGANIZATION INFORMATION


ORGANIZATION INFORMATION


Playspace Address





Organization Address




Who has the legal authority to sign contracts on behalf of your organization?






Partner Organization Information






BASIC INFORMATION




ABOUT YOUR COMMUNITY



What race/ethnicity best describes the children that receive your services? Please provide estimated percentages in the spaces provided below, totaling 100%.  
NOTE: Please include only the number, and no % symbol. 







What age range does your organization provide services to at this site? Check all that apply.



ABOUT YOUR PLAYSPACE














SITE PHOTOS
We rely on your photos and site map to provide a clear and comprehensive view of the space where you plan to build your playground. If you are unable to upload pictures or would like an example, please reach out to hamdur@kaboom.org for assistance. All photos must be attached as .jpg, .png, .jpeg or .gif files.