Community Promotional Fund Application
APPLICANT INFORMATION:
Name of applicant: (raeu / erallo
Name of organization or group represented: was Club of Barstar Crossroads Mailing address: P.O. Box 928, Vermo Calls. 92395
Contact phone numbers): 760 6175765
Non-Profit? Yes No If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Amount requested: $ 2550
What will the funds be used for? Cover cost of all other expensives
When will the activity take place? September 21,2024
Where will the activity take place? Cora Herper Community Center.
Why are the funds needed? Rental of Communits Center Lights s Set up
How many Barstow area residents are involved with this organization? 50 How many spectators will watch this activity? 250
Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
Each year we have a themed event for the
community to raise funds for Service projects for
the Children of Barstow, (Dont Meth With Us,.
(Clothes for Kids) (Community founders Day) cat.
Rev. August 2013 Community Promotional Fund Application Page 1 With this application, please attach the following:
1. A detailed budget stating the total cost of the activity or event, all sources and amounts of funding, and all expenses;
2. A description of the organization's or group's purpose or objective.
By signing below, I declare that I have read the City's Community Promotional Fund Policy and agree to all its terms and conditions. I understand that an incomplete application will not be accepted and that the organization or applicant will not be considered for funding. (If the application is being submitted on behalf of an organization or school, an additional signature is required.) 1 Pair Deralle Elaine Perate 1/9/24
Signature of Applicant Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
Rev. August 2013 Community Promotional Fund Application Page 2