Karate WA Athlete Support Application Form V4.0

Updated August V4.0
Karate Western Australa (Karate WA) Funding Support

Karate WA Funding Support is designed to provide financial assistance to cover the substantial travel costs faced by athletes based in Western Australia travelling to selected international events.

Before filling out this form, please review the Funding Support Policy for detailed information on eligibility and requirements. The policy is available on our website: Funding Support Policy.

Application Deadline:

Applications for funding must be received by the Karate WA prior to the commencement date of the competition for which you are seeking support.

Processing Time:

Please allow a turnaround time of four weeks to receive the outcome of your funding application.
Date*

MonthDayYear
Date
Name of Athlete*

First NameLast Name
Name of Parent/Guardian (If the athlete is under the age 18 years old at the time of application.)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Karate Australia Athlete Number*

Funding Questions*

	Yes
Are you a state team member?
What Karate WA Club are you registered with?
Have you been selected to represent Australia?

Event opportunity you are seeking funding for. *

	Yes
Event Name
Event Dates
Event Category
Estimated costs associated with the event.

Banking Details - (If successful, the funding will be transferred to this account)*

I, (Full Name of athlete or parent/guardian if the athlete is under 18), First Name* Last Name*
agrees to the following:
The requirements of the WAKF funding as per the WAKF Funding Support Policy; and To acquit the grant within three months of the return from the event.*
Signature*

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