SPORT NZ RURAL TRAVEL FUND APPLICATION FORM

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Who are you applying on behalf of...

* required

A school team

A club team

A group - please tell us the groups name

Which sport, or sports are you applying for?

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Maximum 255 characters

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Tell us about where the players go if they travel for games or competition AWAY from that 'home base/clubroom'.
ie; What is the name and location of the practice/competition players are attending.
-Location, town, venue, park
-Name
-Facebook link (if any)

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Contact person 1:

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Maximum 255 characters

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Contact person 1 - Phone number:

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Maximum 255 characters

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Contact person email

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Organisation Details

Postal address:

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Maximum 255 characters

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How many participants aged between and including 5 & 18 will this travel subsidy benefit?

Maximum 255 characters

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How many members belong to your club/school?

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Maximum 255 characters

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10.

How many participants are aged between 12-18 years?

Maximum 255 characters

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11.

Please detail how many applicants are female?

Maximum 255 characters

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12.

How many participants are aged between 5-11 years?

Maximum 255 characters

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13.

Please detail how many applicants are male?

Maximum 255 characters

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14.

How many players live in the vicinity of the Ōtorohanga District?

* required

Maximum 255 characters

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15.

Do you have any disabled individuals who are being supported by this fund?

* required

Yes