Required fields are marked with asterisks (*)

StopGap Ramp Project Application

To apply for a free temporary ramp:

Please complete the following information that will be submitted to the Accessibility staff resource.
The staff member will then contact you to come out and take pictures and measurements that will be forwarded to the StopGap Foundation with the application details.
StopGap Foundation will then forward the agreement to the business owner for completion prior to the ramp being constructed.

As noted, funding is limited, so don’t hesitate to complete the application form!

Business/Organization Name:

Business/Organization Address:

Contact Name:

Email Address:

Telephone:

Select a paint colour:

Red

Green

Blue

Yellow

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