Beneficiaries
Community Champion Form
Team Registration
Mentored Youth
Beneficiaries
Complete the form below to be considered as a beneficiary of Clays for Kids.
What is todays date?
Name of Organization
*
First Name
*
Last Name
Phone
*
Email Address
*
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
ZIP / Postal Code
*
What programs or services does your organization offer that benefit youth in our area?
*
How many children benefit from your organizations programs and/or services on an annual basis?
*
Donation amount requested
*
Summarize what the requested funds will be utilized for:
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Date funds are needed by
Has Clays for Kids Provided funding to your organization in the past?
*
Please select an option
Yes
No
Explain how Clays for Kids has helped your organization in the past.
*
Submit
