Kelty CFTKC Support

Name

First Name

Last Name

Email

Phone

Non-profit name

Non-profit website

Non-profit mission

Are you a representative or affiliated with this organization?

Yes No

Is the non-profit or organization a 501(c)3? (Required for consideration)

Yes No

If nominating a family, please provide family name and children age info.

Please explain why you are nominating this non-profit, organization, or family.

How do you think the organization or family would use a grant or gear donation in order to follow 'Cure For The Common Kid's' mission in getting children outside to benefit from the mental and physical health benefits associated with outdoor activity?

If your nomination is selected, do you grant Kelty and its Agencies permission to use your name, the name of the organization you represent (if applicable) and to reproduce, display, and transmit the entry materials for promotional, marketing, or other purposes to promote 1) Cure for the Common Kid and 2) your selection as a Grantee? **

Yes

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