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Please fill out this form to register your gathering as part of the 1,000 Neighborhood Gatherings initiative and to apply for a COSILoveYou Neighborhood Gathering Grant.
First and Last Name
*
Church Home
*
Zip Code
*
Email
*
Are you applying for funding?
*
Yes
No
How much funding are you applying for?
$150
$300
$450
$600
$750
What is the purpose of the funding?
Food
Activity
Safety
Other: please specify
Please specify how you plan to spend the funding:
Briefly describe the gathering you are planning to host. If you plan to host more than one, please list a brief description for each gathering. (eg:
Checkboxes
I acknowledge that the use of these funds must be specifically and solely for the purpose of enhancing the neighborhood gathering, and for no other purpose. Funds may not be used to enhance church property or events, pay staff or volunteers, or provide equipment that benefits the church more than the neighborhood.
Checkboxes
I hereby release COSILoveYou and its affiliates, including but not limited to its directors, officers, employees, agents, and volunteers, from any and all liability, claims, demands, actions, or causes of action arising out of or related to the 1000 Neighborhood Gathering Initiative. By signing this release, I acknowledge that I understand the risks involved in hosting a neighborhood gathering, and I voluntarily assume full responsibility for any potential harm, injury, or damage that may occur to myself or my property during my participation in the 1000 Neighborhood Gathering Initiative. I further agree to indemnify and hold harmless COSILoveYou and its affiliates from any claims or liabilities, including but not limited to legal fees and expenses, arising out of my participation in the 1000 Neighborhood Gathering Initiative
Submit
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