Request Assistance Play Pause Unmute Mute Please enable JavaScript in your browser to complete this form.Building Athletes goal is to provide sports equipment and assist with fees enabling local Pontotoc County children the opportunity to participate in sports. If you are needing assistance, please fill out the form below. If you would prefer to send your request through another means, you can download the form and send it to: P.O. Box 2641 Ada, Oklahoma 74821 or email to requests@buildingathletes.org. Requestor InformationRequestor Information is for informational purposes ONLY.Name *FirstLastLayoutPhoneEmail *Annual Household IncomeUnder $50,000$50,000 - $75,000Over $75,000Prefer Not To SayRecipient Information (One Form per Recipient)Recipient Information is for informational purposes ONLY. LayoutSchool *AgeGradeRaceAmerican Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhitePrefer Not To SayEquipment/Materials RequestedLayoutItem DescriptionItem Description #2Item Description #3QTYQTY #2QTY #3SizeSize #2Size #3League Fee RequestedLayoutSports LeagueFeeLeague Contact All assistance dependent upon available funding Please allow 2-3 weeks for processing Additional Comments / RequestsSubmit