To be completed by approved referrer


Parent/Caregiver Declaration

I have read the grant conditions and support this application

Approved Referrer

Application Details

To be completed by the referrer and should include how the applicant meets the grant criteria, how the referrer knows the applicant, why the applicant wishes to join a club and any other supporting information.

Grant Amount

Approved Referrer Declaration

I have read and understood the grant conditions and understand that I am making this application on behalf of the named applicant. I also declare that to the best of my knowledge, the applicant meets all of the grant criteria and that I am responsible for communicating with the applicant in regards to this grant and ensuring that the grant conditions are met.

For a printable version of the form please click BKChoose_Sport_Application_Form.pdf

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