NFL FLAG Football Grant Equipment Grant The Carolina Panthers and Carolina Panthers Charities are excited to offer $10,000 in NFL FLAG Football equipment grants that will provide new flag football jersey’s, belts, footballs and more to Parks and Recreation departments in the Carolinas for Spring or Fall programs. NFL FLAG Powered by USA Football provides opportunities for children age 5-17 to enjoy America's favorite sport. Players benefit by being physically active through non-contact, continuous action while learning the fundamentals of football, lessons in teamwork and sportsmanship. The Panthers are committed to building the sport of football at every level in the Carolinas and this grant will help provide:

• New NFL FLAG equipment • Increased awareness and participation of youth football throughout the Carolinas • Reinforced commitment that the Carolina Panthers and Carolina Panthers Charities

have for our youth football community. The NFL FLAG Football grant enables Parks and Recreation departments to apply for the following grant:

• The Panthers will award TEN (10) NFL FLAG Football Grants, each with a retail value of approximately $1,000.

BONUS: Every team that applies for this grant will be eligible to receive:

1. FREE NFL FLAG Football equipment. 2. FREE Panthers preseason tickets courtesy of the NFL and USA Football to

celebrate Play Football Month. Each qualifying NFL FLAG football program will receive a block of tickets (approx.40).

Mailing Instructions: The Carolina Panthers NFL FLAG Football Grant application must follow the attached format and include all specified information in the designated order. Incomplete applications will not be eligible for consideration.

• Grant application deadline is Friday June 9th. • Applications received by fax will not be eligible. • Grant winners will be contacted by NFL FLAG/USA Football for fulfillment.

Mailing Address: Web Site Address: Carolina Panthers www.panthers.com Attn: Peter Vacho 800 South Mint Street Charlotte, NC 28202

GRANT APPLICATION

I. Contact/Organization Information (ALL INFORMATION IS REQUIRED)

Contact Name _______________________________________________

League _______________________________________________

Street Address _______________________________________________

City _______________________________________________

State/Zip _______________________________________________

E-mail _______________________________________________

Phone H: ___________________ M: _______________________

II. GENERAL INFORMATION

1. Organization Website: www.____________________________________________ 2. Name of League director/supervisor: _____________________________________ Email: _________________________________________________________

Phone H: ________________________ M: _________________________

3. In the past two years, has your participation increased, decreased or remained the same?

Incre a s e S tayed the same De cre a s e

4. Fill in table based on previous flag football season.

Type Number of Participants

Number of Teams

Number of Coaches

Min. Age

Max. Age

Total # of Female

Participants

Flag

III. FINANCIAL INFORMATION (for football program only, if applicable) FEDERAL TAX ID #: IV. ESSAY - Please use a separate sheet of paper to answer the following

• Please explain why your organization should be considered as a recipient of the Carolina Panthers NFL FLAG Football Grant.