Minor Development Fund Existing Associations - Not Covered by Insurance
Date Submitted
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Month
-
Day
Year
Date
Association Name
*
Association Mailing Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Contact Person
*
First Name
Last Name
Phone Number
*
E-mail
*
Your E-mail Address
Number of Registered Players from the Previous Season
*
Funding Expense Sheet
Expense List
*
Description
Total Amount
Amount not covered by insurance
Uniform Expenses
Equipment Expenses
Infrastructural Expenses
Other Expenses
Expense List Total
*
Expense List Total - not covered by insurance.
*
What insurance company are you working with?
*
Other pertinent information about the insurance claim, including why the claim was submitted in the first place ie. fire or theft.
*
I certify
*
I certify that all information entered above is valid and true.
Invoices and/or Receipts - to be uploaded at time of application
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