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* 1. Name

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* 2. Title

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* 3. Organization

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* 4. Email

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* 5. Phone Number

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* 6. Number of Youth Served

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* 7. Number of Total Coaches (ft, pt, volunteers)

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* 8. Annual Operating Budget

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* 9. Grant Application Summary
Please provide a clear and brief summary of your organization's interest in securing the Culture of Safety grant. The grant encompasses the complete bundle of the AED (Automated External Defibrillator), Coach-Mentor Training™, and Play Safely Training, all of which are critical components to ensure the safety of participants in your sports program.
 
Please specify the number of coaches you plan to train for both (1 Play Safely Sports and (2 Coach-Mentor Training™. Describe how you will schedule training, including the anticipated start and completion dates. Additionally, outline how this grant aligns with your organization's long-term safety-related goals and how it will support and enhance those objectives.
 
How will receiving an AED grant contribute to your organization's emergency preparedness and the overall safety of your young athletes? Describe any additional measures your organization plans to take for safety, emergency response and coach training for social and emotional learning and injury prevention.  

Include your organization's web address/URL.

(Max 500 words)

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* 10. Terms and conditions agreement:

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