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SportAssist Funding Application

Before completing the following form, please review SportAssist's Application Information.

Step 1 of 3: Activity Information

Club/League/School*
Please include Club/League/School.

Contact Name*
Please include Activity Contact Name.

Contact Position*
Please include Contact's Position.

Address*
Please include activity's address.

Phone*
Please include activity contact's phone number.

Email*
Invalid Input

Sport/Activity for which grant will be used*
Please include Sport/Activity for which grant will be used.

Is this the first time this child will be enrolling in this sport?*
Please Select

If no, how many years has child been involved in this sport?
Please include number of years.

Activity Start Date*
Please select date.

Activity End Date*
Please select date.

Full Registration Cost*
Please include Full Registration Cost.

Grant Requested*
Please include Grant Requested.

Make SportAssist Cheque Payable to*
Please include cheque payable information.

Has funding been applied for through any other organization?*
Please select.

If yes, please provide organization name and contact information:
Invalid Input

 
Step 2 of 3: Child & Parent/Guardian Information

Child’s Full Name*
Please include Child’s full name.

Parent or Guardian’s Full Name:*
Please include Parent or Guardian’s Full Name.

Address*
Please include Address.

Phone Number*
Please include phone number.

Email Address*
Please include a valid email address.

Birthdate*
Please include birthdate.

Sex*
Please select.

 
Step 3 of 3: Reference Information
  • The reference must be a third party who is familiar with the child's family and is in a professional position to assess the social and economic barriers of the family and must be available to be contacted if further information is needed.
  • A reference may be a professional in social work or family services (ex. Nurse, social worker, licensed child care worker), a school principal or guidance counsellor, a senior recreation administrator, a member of the clergy, physician, law enforcement officer, lawyer, accountant, or employer of the parent or guardian. Other references may also be accepted if accompanied by a letter outlining the circumstances of the family; however family members, coaches, registrars or directors of sports clubs are not accepted as references.

Reference Full Name*
Please include Reference's Full Name.

Address*
Please include Reference's Address.

Phone Number*
Please include Reference's Phone Number.

Email Address*
Please include a valid email address.

Relationship to Family*
Please include Reference's Relationship to Family.

Organization
Please include Reference's Organization.

*
I agree with these guidelines (please check box).

I have read and understand the SPORTASSIST Program guidelines and agree that this application meets them. I, the applicant for the child named in step #2, agree that I have discussed this application with the reference, who has agreed to provide information regarding this family and its eligibility for the SPORTASSIST grant, and that a SPORTASSIST representative can contact the reference named in step 3.

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