FY 2024.2025 Fallbrook Regional Health District Youth Fitness Grant Report

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Organization Name* This field is required.Please provide the legal name of the organization, as it appears on your 990. If you have a different DBA or nickname please add that in the box adjacent to the legal name.
Legal Name
DBA (if Applicable)
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Contact Information* This field is required.Please add the contact information for the person responsible for the submission and monitoring of this grant application.
Contact Name
Title
Primary Contact Phone
Email Address
3
Financial Documents - P&L and Balance Sheet* This field is required.Most recent Fiscal year-end P&L and Balance Sheet.
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Total number of residents that directly participated from this program.* This field is required.The number of residents that enrolled in your program.
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Target Population - Age* This field is required.List the percentages of your program participants’ ages. Percentages must add up to 100%
Percent of program participants
Estimated number of participants
Children (infants to 12)
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Young Adults (13-17)
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Adults (18-60)
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Children (infants to 12)
Young Adults (13-17)
Adults (18-60)
Percent of program participants
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Estimated number of participants
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Percent of program participants
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Estimated number of participants
Row 1, Column 1
Percent of program participants
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Estimated number of participants
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Percent of program participants
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Estimated number of participants
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Target Population - Gender* This field is required.List the percentages of your program participants’ gender identification. Percentages must add up to 100%
Percent of program participants
Female
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Male
Row 1, Column 0
Non-binary
Row 2, Column 0
Unknown*
Row 3, Column 0
Female
Male
Non-binary
Unknown*
Percent of program participants
Row 0, Column 0
Percent of program participants
Row 1, Column 0
Percent of program participants
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Percent of program participants
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Please tell us how the funding was used and how that supported youth fitness.
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Acknowledgment* This field is required.Please explain how the District's name or logo was promoted. If social media was selected, please identify which platforms your organization utilizes.
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Authorized Signature* This field is required.Please sign the application
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