Georgia Playspace Refresh Grant Application
Section 1: Applicant Information
Legal Name of Organization
Organization Address
Street Address
City
State
Please select...
AL
AK
AZ
AR
AS
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
MP
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip Code
EIN
Organization Type
(Select One)
501(c)3 Organization
City or Municipal Agency (public school, public parks or other city agency)
Business or For Profit Entity
Other
Are you a child serving organization located in Georgia
?
Yes
No
Is your organization religiously affiliated or for-profit?
Yes
No
Do you serve more than 25 children annually?
Yes
No
Have your or your organization had any conflicts of interest (COI's) related to this funding opportunity?
(
Tip:
A conflict of interest may exist if you have a personal, professional, or financial relationship with someone involved in the review or administration of this funding. This includes close collaborators, relatives, or financial ties to vendors. When in doubt, please disclose.)
Yes
No
Section 2: Site and Ownership Information
Is your organization the landowner of the site proposed for improvement?
Yes
No
If not, please provide the name of the current landowner.
Organization and site address are the same.
Yes
No
Site Address
Site Name
Street Address
City
State
Please select...
AL
AK
AZ
AR
AS
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
MP
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip Code
Playspace Pictures
- Please upload recent photos of the proposed playspace maintenance/refresh project.
Is this site an existing playspace?
Yes
No
Section 3: Project Proposal
Briefly decribe what you would like to do with the grant funding
(Tip: Include any ideas around adding shade (manufactured or tree planting), increasing play value, improving surfacing, safety, or amenities.)
How will this project create a welcoming inclusive space that fosters a sense of belonging for all members of the community?
(Tip: Consider how the space can be inclusive and welcoming to all-through accessibility, sensory-friendly design, cultural inclusion and community connection.)
Have you done any research to obtained quotes for this project?
Yes
No
If yes, please upload any quotes or related documents
.
Section 4: Funding Request
Please select
one
grant amount range you are applying for:
$10,000 - $15,000
$15,000 - $20,000
$20,000 - $25,000
Section 5: Budget Breakdown
Share your budget plan.
Competitive budgets allocate the majority of funds to hard costs.
(Tip: For each section below, list individual items separately rather than grouping them, unless items are minor and clearly related (e.g., multiple types of fasteners could be grouped as "Hardware – Fasteners").
Hard Costs (e.g., materials, equipment, supplies, shipping)
Item & Description:
(e.g., “Acrylic Sheets – Clear 1/4" acrylic for sculpture panels”)
Estimated Cost:
Installation Costs (e.g., permits, contractor fees, staff labor)
Item & Description:
(e.g., “Acrylic Sheets – Clear 1/4" acrylic for sculpture panels”)
Estimated Cost:
Contingency Costs (buffer for unforeseen expenses or cost changes)
Item & Description:
(e.g., “Acrylic Sheets – Clear 1/4" acrylic for sculpture panels”)
Estimated Cost:
Other (Optional) (additional relevant expenses)
Item & Description:
(e.g., “Acrylic Sheets – Clear 1/4" acrylic for sculpture panels”)
Estimated Cost:
Section 6: Contact Information
Primary Contact Information
Contact Name
Title/Role
Phone Number
Email Address
City
State
Please select...
AL
AK
AZ
AR
AS
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
MP
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip Code
Authorized Signatory if awarded grant?
Yes
No
Secondary Contact Information
Contact Name
Title/Role
Phone Number
Email Address
City
State
Please select...
AL
AK
AZ
AR
AS
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
MP
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip Code
Authorized Signatory if awarded grant?
Yes
No
Section 7: Contract and Agreement
Please review our sample
contract
and confirm your agreement
I have reviewed and agree to the terms outlined in the sample contract
Section 8: Discovery Method
How did you hear about this opportunity?
KABOOM! Social Media (Instagram, Facebook, LinkedIn)
Previously worked with KABOOM!
Member of KABOOM! Staff
KABOOM! Website
Atlanta Falcons Youth Fund or Georgia Power
Other
Section 9: Our Organization Contact Information (For Reference)
If you have any questions about this application, please contact:
KABOOM! Community Outreach Manager:
Chibuzo Okoro
GAgrants@kaboom.org
Contact Information