Equipment Loan Program Application

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To help make play and healthy living accessible to everyone, Riverview is proud to offer this free service to residents! The equipment packages outlined below are designed to help you try new activities and check off tasks on your Summer Fun Challenge.

Please note this free service is open to Riverview residents, first come, first served.

Incomplete forms will not be reviewed by staff. If you experience difficulties filling it out, please do not hesitate to give us a call at 387-2075 for assistance.

First Name *

i.e. Sarah

Last Name *

i.e. Smith

Address: *

i.e. 55 Biggs Drive

Additional instructions for pick up/drop off:

i.e. Side door, porch, back door

Email Address: *

Primary Phone Number: *

i.e. 506-123-4567

Secondary Phone Number:

i.e. 506-123-4567

I prefer you contact me via: *

Phone

Number of family members who will enjoy using the equipment: *

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