2010 GamesKids

• Applicant Information

• Name *

  First Name

  Last Name
• Team/Club/Organization/Community Group *
• Email *
• Phone *
• Fax
• Address *

  Address Line 1

  Address Line 2

  City

  AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonProvince/State

  CanadaUnited StatesCountry

  Postal Code/ZipCode
• Brief Description of organization *

  3-4 lines

• Are you a non-profit organization?

  YesNo
• Non-Profit Number

  If you answered yes above.

• 2010 GamesKids Grant

• Please list the event(s) you wish to attend

• You may apply to attend up to three Olympic or Paralympic themed events in BC (insert hyperlink).

• Event 1 *
• Number of youth attending *
• Age of Participants *

  7 and under8-10 years10-12 years12-14 years14 +

  Please check all that apply.

• Funding amount requested *

  To a maximum of $500 dollars per event.

• Event day contact name

  If Different than above

• Event day contact phone
• Event 2
• Number of youth attending
• Age of Participants

  7 and under8-10 years10-12 years12-14 years14+

  Please check all that apply

• Funding amount requested
• Event day contact info
• Phone
• Event 3
• Number of youth attending
• Age of Participants

  7 and under8-10 years10-12 years12-14 Years14+
• Funding amount requested

  Maximum of $500 per event.

• Event day contact info
• Phone

• Transportation

• Method of transportation *
• Do you have a confirmed transportation plan? *

  YesNo
• Will you be using a credited bus service? *

  YesNo
• Have you arranged chaperones?

  YesNo

• Payee information

• Name of group or organization cheque should be made out to. *

  Only fill out if different than above.

• Address *

  Address Line 1

  Address Line 2

  City

  AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonProvince/State

  CanadaUnited StatesCountry

  Postal Code/ZipCode
• Phone *