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DAMANI GIBSON FOUNDATION

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Apply Here

First name*

Last name*

Email*

Phone*

School or Sports Team?*

School

Sports Team

Other

Position?*

Head Coach

Assistant Coach

Parent

Other

Tell us about yourself...

# of students on campus?*

# of students in athletic department?*

# of AEDs on campus?*

# of AEDs in athletic department?*

Your supervisor's name & contact information (phone&email)?*

How will this AED be used to supplement the ones already owned? Where will the AED be kept?*

Does the team/school have an Emergency plan on record? If so please upload a copy below. If not are you willing to have us help you create one? *

Upload Emergency Plan if available

What is the school/team Instagram?*

If awarded an AED will you and your team participate in our SCA training? (offered in person or virtual)*

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