Hoyt Running Chair Grant Application

Hoyt Running Chair Grant
Basic Contact Info:
Runner's Full Name

First NameLast Name
Rider's Full Name

First NameLast Name
Age of Runner
Age of Rider
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number
Format: (000) 000-0000.
Diagnosis of Rider
Personal Statement
- Share your personal story, including your journey as a team.
- Explain how duo running has impacted your life.
- Discuss challenges you’ve faced in pursuing your athletic goals.
- Share your long-term goals in running.
(Please provide 500-750 words).
Financial Statement

Our review team does consider socioeconomic status and applicants’ financial situation as a factor in grant eligibility. Please include either: last year’s tax return or a written statement about your financial situation
File Upload

Last years tax return (if applicable).
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Equipment Request
1. Do you run with a Team Hoyt, Ainsley's Angels, or My Team Triumph chapter? Or a similar organization?
2. Have you used a Hoyt Running Chair or similar type of running chair before?
3. Have you received any other grants in the past 3 years?
4. Are you applying for any other grants this Fall?
5. Do you represent any other organizations or brands?
6. Do you have any additional funding sources if we aren't able to cover the entirety of the chair? If yes, please list:
Athletic Goals
What do you hope to accomplish as a duo team?
Are you registered, or intend to register for any specific competitions in 2026?
How will this grant change your athletic journey or personal life?
If you are chosen as an AdaptX grant recipient, do you agree to include our logo on your competition gear or wear AdaptX apparel that we provide? (Logo on a singlet, sticker on a racing chair, etc.)

YesNo
Please explain why not:
If you are chosen as an AdaptX grant recipient, are you willing to share your story?

YesNo
Please explain why not:
Additional Information
Is there anything else that you would like our review committee to consider when reviewing your application?
Supporting Materials
Please submit a letter of recommendation from a coach, therapist, mentor, or community leader.

Required
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Please include a current photo of you and your duo partner running.

Optional
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Applicant Agreement

By signing below, I confirm that all information provided is true and accurate. I understand that grant funds must be used solely for the purchase of the adaptive equipment requested in this application.
Signature
Date

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Date
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Hoyt Running Chair Grant

Basic Contact Info:

Equipment Request

Athletic Goals

Additional Information

Supporting Materials