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Mon Jul 24, 2017
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Bob Gale Recreation Fund Request Application Form

 

Individuals seeking funding should ask the organization they hope to join whether they have subsidies or assistance in place before applying to the Bob Gale Recreation Fund.

Applicant Information:  
First Name: max 30 char
Last Name: max 30 char
Birthdate:   (dd/mm/yyyy)
Address: max 30 char
City: max 30 char
Province:
Postal Code:
Telephone: Format (123-123-1234)
Parent/Guardian (req’d if Applicant above is age 17 yrs and under)  
Name: max 30 char
Relationship to above: max 30 char
Telephone: Format (123-123-1234)
Mailing Address::
Details of Request  
Sport or Activity: max 30 char
Recreation/Sport Start Date:  (dd/mm/yyyy)
Recreation/Sport End Date: click if event is Ongoing or enter end date →
Registration/Payment Deadline:  (dd/mm/yyyy)
Organization: max 60 char
Organization Contact: max 30 char
Email Address: max 60 char
Telephone: exp: 905-123-4567
Address: max 30 char
City: max 30 char
Province:
Postal Code:
Purpose/Items Requested:
Reason that Financial Assistance is Required:
 
Amount Requested:Registration Portion:
Equipment Portion: $
Other: $
Total Amount Requested: $
Reference: Provide below at least (2) two references. Examples: Teacher, Social Worker, Spiritual Leader etc.
>> Please inform your references we will be contacting them as part of the application process <<
1  Name: max 30 char
 Position: max 30 char
 Telephone: exp: 905-123-4567
2  Name: max 30 char
 Position: max 30 char
 Telephone: exp: 905-123-4567

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Enter only the red underlined numbers:
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