DORSET YFC Annual Parental Consent Form 2021/2022

DORSET YFC 200 CLUB

Grant Application Form

Members Name*

First NameLast Name

Address

Street Address

Street Address Line 2

TownCounty

Postcode

Email*

example@example.com

Contact Telephone Number*

mobile number if you wish.Format: (000) 000-0000.

YFC Membership Number*

example 00-00-000

Club*

How long have you been a member of Young Farmers?*

Give details of posts held at Club, County & Area Levels

please include details of all clubs/counties you have been a part of

Are you going on a YFC Organised Trip?

Please click on the required response

If other please list below

Are you going on a trip organised by another organisation or are you planning the trip yourself?

Please click on the required response

If other/different organisation please list below

Please give details including the Country/ies you will be visiting and the activities you will be involved in

Start date of the trip/event

Date

End date of the trip/event

Date

Why do you want to travel on this programme or at this time?

If you received money from the 200 Club, how would it contribute towards your trip?*

If you are receiving money from the 200 Club you may be asked to give a presentation at the 200 Club AGM or another Club or County meeting, by submitting this application you are agreeing to these conditions.

Signature of parent/guardian/or member if over 18

Date

Full Name of Parent/Guardian/Member*

Block Capitals please

By click the submit button below your completed Grant Application will be sent directly to the YFC 200 Club Chairman: Nick Sansom

Please print a copy of your Grant Application for your reference, and confirmation that this has been sent will show shortly.

All applications are taken to the next 200 Club meeting for discussion and they will be in contact with you if you application has been successful.

Thank you.

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Direct contact details:

dorsetyoungfarmers200club@gmail.com

dorsetyoungfarmers200club