R.E.Sp.E.C.T Program Elder Assistance

R.E.Sp.E.C.T. Program
P.O. Box 143 Concho, OK 73022
Phone: 405-422-7570 Fax: 405-422-8264
R.E.Sp.E.C.T Program Elder Assistance
Guidelines

The following is a list of guidelines that the R.E.Sp.E.C.T. Program will use to assist our enrolled Cheyenne & Arapaho Tribal Elders participating in recreational, exercise or sports leagues and activities.
1. All applicants must be enrolled members of the Cheyenne and Arapaho Tribes of Oklahoma and provide a copy of the CDIB or CDIB ll (1/8). (Certified Degree of Indian Blood)

2. All applicants must provide a copy of the flyer or itemized invoice with fees and vendor information.

3. Allowance for tribal elders will be limited to one time per year for the selected sport or activity up to TWO HUNDRED DOLLARS ($200.00). Fees will be applied towards the combined membership, league, tournament and/or uniform fees in their respective sport or activity of choice.

4. Checks will be made out directly to the league or association that is conducting the sports league or activity, NOT the participant.

5. All completed applications will need to be turned in to the RESpECT Program office two weeks prior to the deadline of their selected sports activity. Incomplete applications will not be processed. Applicants are responsible for submitting all required documents.

6. All participants/applicants will be responsible for the remainder of the fees, meals, transportation…etc, associated with the sports activity.

7. Participants are responsible for registering and submitting any required documents to the leagues or organization itself. The RESpECT Program will only process payment, if approved.

8. Participant must sign and abide by the RESpECT program “Sportsmanship Creed”, and must conduct themselves accordingly throughout the sports league or activity.

9. Participating in any sport can be a dangerous activity, including many risks of injury, and hereby release the R.E.Sp.E.C.T. Program and its employees, and the Cheyenne & Arapaho Tribes, of any responsibilities for accidents of injuries that may occur while participating in the sports or recreational activity.
I have read and agree to the terms of the R.E.Sp.E.C.T. Program Elder Assistance Guidelines. Please sign below.

Clear
Today's Date

MonthDayYear
Date

R.E.Sp.E.C.T Program Elder Assistance Application
Name*

First NameLast Name
Sex*

MaleFemale
Tribe*
CDIB #:*
Attach copy:*

Browse Files

Cancelof
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Type of Assistance Requested*

5K/MarathonGym MembershipSports LeagueTournament
Organization*
Dates of Activity*
Contact Person*
Contact phone number*

Area CodePhone Number
Fees

Make Check Payable to:
Vendor Name(s) & Address(es)
Amount Requested

Sportsmanship Creed
I recognize that being a member of the community carries with it responsibilities and rewards, and that as an athlete in the community I must not only embrace those responsibilities, but also conduct myself both on and off the playing field in a way which exhibits respect for myself and others. I, therefore, resolve to conduct myself with dignity as an athlete and as a citizen of the community recognizing and accepting that I:

➢ Must accept accountability for my behavior and its outcomes.
➢ Must honor my obligations and promises.
➢ Must exercise self-control.
➢ Must be willing to be fair with others in my dealings on and off the playing field.
➢ Must take pride in myself and my accomplishments, but never at the expense of demeaning another
person or group.
➢ Must respect the efforts of others.
➢ Must respect authority.
Please sign below:

Clear
Today's Date

MonthDayYear
Date
Should be Empty:

R.E.Sp.E.C.T Program Elder Assistance

Guidelines

R.E.Sp.E.C.T Program Elder Assistance Application

Fees

Sportsmanship Creed