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* 1. Your Contact and LCO Info

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* 2. Cancelled, Postponed or Closed: What programs and operations have you had to cancel or postpone due to COVID-19?

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* 3. Revenue Loss: If applicable, please estimate your LCO's revenue loss to date, and projected revenue loss for the year, due to COVID-19.

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* 4. Impact of Revenue Loss: If applicable, what real or projected impact is COVID-19 revenue loss having on your LCO's programs or operations--are there projects or activities you can't do or will change due to funding concerns?

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* 5. LCO Funding Relief: Please provide us some information to help assess the feasibility of a potential Access Fund LCO relief grant program.

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* 6. Federal Relief: Did your LCO utilize any federal coronavirus relief programs, or other relief funding?

Please write in one of the following: Applied, Received, Thinking About It, or N/A. Optional--if Received, write in the amount.

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* 7. Climbing Community Response in Your LCO Area(s): How has your local climbing community responded to COVID-19 closures, restrictions or advisories, whether put out by your LCO, land managers, or government?

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* 8. Virtual Events and Programs: Briefly tell us about the virtual programs/events your LCO has done or is considering. For example, movie screening, community Zoom calls, online auctions, etc.

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* 9. Comments: Other comments, long-term concerns, and ways Access Fund can support your LCO right now?

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