(No title)

Contact Information:

High School Contact:

Club Team Information:

Number of Club Members:

Number of fishing events team participates in a year:

Is your club a member of the Lew's Equipment Discount Program (not a grant
requirement) YesNo

If so, what's your Lew's identification number?

Would you like to receive information on Lew's Equipment Discount Program for
schools? YesNo

Purpose of Grant Request:

Of the following areas of focus, check mark which are most relevant to the purpose of this application?

Growing the sport of recreational fishing? YesNo

Showcasing high school fishing as a valued educational activity? YesNo

Elevating the visibility of youth fishing in the local community? YesNo

Instilling conservation awareness through best practices? YesNo

Briefly describe your club activity that qualifies for the Lew's product grant
initiative (minimum 200 words, maximum 400 words). Be specific as to the activity, the date(s), target audience, estimate of how many people are reached, whether this is a one time or on-going activity and expected benefit to your club as a result of the activity. Please describe club in the box.

If our application is approved, we need our Lew's Mach products no later than:

NOTE: Upon your club approval, an F3 official will contact the school contact person above for program verification.