CHRISTIAN YOUTH BASKETBALL LEAGUE GRANT APPLICATION

CHRISTIAN YOUTH BASKETBALL LEAGUE GRANT APPLICATION
This Grant is provided by our 1 to 1 sponsors. If there are no sponsors available, you will be notified and placed on our waiting-list

By submitting this form, you agree to have your information stored in our file storage system.
Section 1

Child Information
Name

First NameLast Name
Address

Address

Street Address Line 2

CityState / Province

Postal Code
Date of Birth (DD/MM/YY)

MonthDayYear
Date
Which Program will your child be registering for?

House League - Barrie, ONHouse League - Kingston, ONHouse League Plus - Barrie, ON (Currently, our grant will only cover 50% of the house league portion of the program)
Section 2

Parent/Gaurdian
Name

First NameLast Name
Address (do not include if the same as above)
City
Postal Code
Phone
Email
example@example.com
Relationship to Child
# of Adults (18+) in Home
of Kids in Home
Please select if you identify as: An Indingenous Person in Canada New Canadian (In Canada for less than 10 years) Note: This information is optional and will not result in a greater grant; however it will help us keep track of who we are helping.
Single Parent Status:

DivorcedSeparatedFosterOther
Divorced Dual Parent Status:

MarriedCommon LawFosterOther
I confirm that all information included in this application is accurate: Signature:Date:
Signature

Clear
Date

MonthDayYear
Date
Section 3

Income Verification
Gross Annual Household Income
Current proof of family income - provide one of the following: 3 consecutive paystubs OR social assistance documents (ODSP, Ontario Works, El, etc
Proof of family income File Upload

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Section 4 (Optional)

Endorsement Letter
The endorsement letter is an OPTIONAL supporting document and is to be written by a thirds part community professional (doctor, social worker teacher, lawyer, etc to outline the current barriers impacting the family from registering their child into sport. It is intended to provide an opportunity for the applicant to provide additional background to support their CYBL Grant application. Endorsement letter must be on professional/official letterhead.

Completed applications are to be emailed to Info@cyblbasketball.ca or mailed to our CYBL office: 653 King St West Unit 1 Kingston, Ontario, K7M 2E9
Endorsement Letter File Upload

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Should be Empty:

CHRISTIAN YOUTH BASKETBALL LEAGUE GRANT APPLICATION

Section 1

Section 2

Section 3

Section 4 (Optional)