Gray Fire Grant Application - Re*Imagine Medical Lake

Frequently Asked Questions:

Is Re*Imagine Medical Lake Providing Grants?
Re*Imagine Medical Lake has provided a variety of grants and continues to provide financial and emotional support. If you have a need please fill out our Gray Fire Help Request form.

What is the Purpose of Registering?
Registering with Re*Imagine Medical Lake allows you to provide key impact information to our organization that is necessary for grants and support.

Register with Re*Imagine Medical Lake

Please complete the form below to share about your unique situation and needs.

Name(Required)

Email(Required)

Phone(Required)

Address that was impacted by the Gray Fire(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How were you affected by the event on August 18th?(Required)

Were you displaced by the fire?(Required)

Yes

How long were you displaced?(Required)

Do you have homeowners insurance / renters insurance?(Required)

Yes

What is your most important need right now?(Required)

Do you have any children living with you under 18?(Required)

Yes

How many children do you have?(Required)

What kind of support would be helpful right now?(Required)

Hidden

Would you like to have handcrafted Christmas stockings?(Required)

Yes

Hidden

How many handcrafted Christmas stockings would you like?(Required)

Please enter a number less than or equal to 10.

Name

This field is for validation purposes and should be left unchanged.

Interested in getting involved?

Our team is a group of Medical Lake citizens and volunteers that are passionate about seeing healthy growth and engagement in our community. If you’re interested in getting involved we have a wide variety of opportunities available.

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