Travel Fund Application FORM TO BE PRINTED OFF
SOUTH CANTERBURY AMATEUR ATHLETIC CLUB
APPLICATION FOR FUNDING
………………………Date
Name of Applicant: ……………………………………………………………………
Address & Telephone Number: ……………………………………………………………………
……………………………………………………………………
Email address: ……………………………………………………………………
Event s Applicant is applying for funding for:………………………………………………………………….. ……………………………………………………………………..
……………………………………………………………………
Date and Place of Events: ……………………………………………………………………
……………………………………………………………………
Costs: (What the funds were used for and the amounts): ……………………………………………….
………………………………………………………………………………….
………………………………………………………………………………….
Other sources of funding applied ……………………………………………………………………
for, received and amounts:
……………………………………………………………………
Signature of Applicant: ………………………………………………………………………………….
If applicant is under 18 Years old, I certify that I am aware my child is applying for funding from the South Canterbury Amateur Athletic Club.
Parents Name, Address & ……………………………………………………………………
Telephone Number:
…………………………………………………………………………………..
…………………………………………………………………………………..
Signature of Parent/Caregiver: ……………………………………………………………………………….
