Donation Requests

Please fill out and submit the form below if you are looking to request a donation.

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What percentage of stated youths impacted by this donation currently reside in the city of Santa Rosa?

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What percentage of stated youths impacted by this donation currently reside in the town of Windsor?

How many under-privileged or disadvantaged young people in the greater Santa Rosa area will benefit from this donation?

Briefly explain how these children are under-served or disadvantaged (e.g. Is family income is under state poverty levels? Are they victims of abuse? Do they suffer from mental or physical disabilities? etc.)

Please describe how your organization - and this specific program, if applicable - benefits these under-privileged or disadvantaged youth.

Please include any additional information that we should consider when assessing this donation request. (optional)

What recognition will the Active 20-30 club of Santa Rosa or Active 20-30 International receive any recognition for this donation? (optional)

Please attach any documents that you would like us to consider (optional)

Specific program for which the donation will be used, if applicable.