Sports Club Individual Participation Grant Claim 1Introduction2Club details3Recipients4Supporting Documents5Review You can use this form to: Claim Individual Participation Grants funds as representative of a sports club. Before you begin: It takes about 5 minutes to complete this form and you will need to: Tell us your club name, name, role at club, email and phone number Provide the name, funding reference number and total registration/membership cost of registered sports club members who are successful Individual Participation Grants recipients Provide sports club bank account details Provide a copy of the invoice or other supporting documentation for the membership/registration fee Read and accept the City of Boroondara Privacy Statement After you complete this form we will: Review your sports club individual participation grants claim form Credit funds into the nominated club account within the next month For further enquiries please call 9278 4797. What happens with your information? We record your information on our customer databases and make it available to relevant Council staff in line with our Privacy Policy Club name * Required Club contact email address * Required Club contact name * Required Given name Family name Club contact phone number * Required RecipientsFill in the following details of registered sporting club members who are successful recipients of the Individual Participation Grants: Recipient nameIPG reference #Cost of registration/membershipFunding claim (75% of cost, capped at $200) Sporting Club Bank Account DetailsBank account name * Required Bank account number * Required BSB * Required Supporting DocumentsPlease supply a copy of the invoice or other supporting documentation for the membership/registration fee * Required Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 4 MB, Max. files: 5. Maximum file size - 4 mega bytes. Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields:exclude[21,22]}I declare that I have read and understand the ‘Eligibility and Conditions of Individual Participation Grants’ * Required Yes I declare that I have authorisation to submit this form on behalf of the Club and all Grant Recipients and all information provided is, to the best of my knowledge, true and correct * Required Yes I have read and accept Council's Privacy Policy and understand how my information will be used. * Required Yes
