top of page
South Waikato Super Sports Inc.
Grant Application Form
First name
*
Last name
*
Email
*
Phone
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Team List and Addresses
*
Event
*
Date of Event
*
Location of Event
*
List of Applicants Achievements (Sporting achievements, how, won, selection etc):
*
Budget (Please Itemise costs associated with attending event/competition i.e. (airfares, accommodation, insurance, transport, equipment, uniforms, allowances etc.)
*
Total Budget ($)
*
Contribution: National Sports Body ($)
Contribution: Fund Raised or Donated ($)
Contribution: Personal ($)
List other funding bodies you have applied to for assistance:
Signature: Please note – By signing this application form successful recipients agree to all conditions – report and attendance at Super Sports funding raising event presentation as required – set out on page 1 of this application form
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Day
Month
Year
Submit
bottom of page