uCity Square Class and Club Registration & Funding Request Form
Register your local club and request light funding for your activities in uCity Square.
Club/Class Name
*
Club or Class Type or Category
*
Please Select
Sports
Arts & Culture
Education
Science
Community Service
Technology
Art
Special Interest
Health & Wellness
Other
Brief Description of Club/Class and Activities
*
How many people do you envision in your club/class?
What does "success" look like for your class or club? (e.g. members learn a new skill, members make a meaningful connection, etc...)
Contact Person's Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
With which company or university are you affiliated?
*
Is your club/class based in or primarily serving the uCity Square community?
*
Yes
No
Briefly describe how requested funding will be used
*
Disclaimer
By participating in the classes and/or clubs originating at or hosted by uCity Square (the “Property”) and the activities associated therewith (the “Activities”), you agree to the following: (1) the owners of the Property, its employees, affiliates, and officers (collectively, the “Owner”) shall not be liable for any damages or injuries that you may suffer from participating in the Activities; (2) to release, discharge and hold Owner harmless against any loss, liability, damage, claim, cause of action, known or unknown cost, or expense of any nature whatsoever, including attorneys’ fees and other legal costs arising from your participation in the Activities; and (3) that this disclaimer governs Activities that take place both on the Property and off the Property.
Submit Registration & Funding Request
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