Fitness Grant Application Name* Email* Phone City, Zip* What type of fitness activity are you applying for?*Gym membershipYogaMartial artsCrossFitOther Other What is the estimated monthly cost?* Are you currently a member of a fitness facility?*YesNo How would this grant help you or your family stay active?* If awarded, do you agree to use the funds only for fitness-related expenses?*Yes You agree to receive email communication from us by submitting this form and understand that your contact information will be stored with us. Submit