USCAC APPLICATION - ATHLETE TRAVEL SUBSIDY

USCAC APPLICATION - COACH TRAVEL SUBSIDY

ANNEX C FORM
Coach name

First NameLast Name
Email
example@example.com
Please provide event details & date of attendance. USCAC Athlete name/s & events they competed in
*Attach proof of competition attendance

Cancelof
Are you accredited & currently registered with Australian Athletics as a coach?
Yes/No
Do you accept that your athlete results will be used for promotional purposes by USCAC
Yes/no
The maximum support for attendance in the current membership year will be determined as follows for events within or outside Australia:
- $200 for 1-2 athletes
- $300 for 3-4 athletes
$400 for 5 plus athlete
For reimbursement purposes: Account Name; BSB; Account No.
Date

MonthDayYear
Date
Signature

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USCAC APPLICATION - COACH TRAVEL SUBSIDY