BASIC INFORMATION
This information will be used to contact you if your application is accepted.
Name
*
First Name
Last Name
Work Email
*
Work Phone Number
*
Format: (000) 000-0000.
Facility Name and Location
*
Facility Name
Street Address Line 2
City
State
Postal / Zip Code
Total Square Feet of Project
*
Type of Facility
Public
Private
Status of Facility
Existing Retrofit
New Build, All Other Funding Secured
Planned, Funding will be Secured by End of Calendar Year
Other
Amenity Style
*
Splash Pad
Pool Deck
Zero-Depth Entry
Waterpark
Bathroom
Locker Room
Are there any special site conditions?
What was the original funding source(s) for the aquatic facility?
If municipal-run, what is the Median Household Income for your city?
If municipal-run, what is your Park and Recreation operations budget per capita?
5 year average capital budget divided by population.
If municipal-run, what is your average annual Parks and Recreation capital budget?
Are you interested in receiving a quote for this project if you do not receive a grant?
*
Yes
No
Are you willing to accept a design chosen by Life Floor to potentially receive a higher match?
*
Yes
No
Photo(s) of Splash Pad
*
Browse Files
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of
Site Plan/Drawing
*
Browse Files
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ESSAY QUESTIONS
Please answer the following questions thoughtfully. Your responses will directly influence your chances of winning an all-expenses paid Life Floor safety surface for your facility.
What would winning this grant mean to your community?
*
Please provide a brief description of your organization, its goals, its impact on the community, and why it should be considered for matching funds.
How do you believe Life Floor will improve your facility for guests and staff?
*
What makes your aquatic facility unique?
*
What interested you about surfacing your aquatic facility with Life Floor?
*
Does your facility have any special certifications or designations related to inclusivity or accessibility? If so, please describe them.
Optional: Please provide any additional information for consideration.
Please verify that you are human.
*
SUBMIT
Should be Empty: