USAA-AZ Athlete Grant Request Form

USA Archery Arizona is pleased to announce our Athlete Grant Program established in 2019 in an effort to reward, acknowledge and support the archers within the Arizona archery community that have achieved acceptance onto a High Performance International Team. We want to acknowledge and thank the AZ Cup committee, volunteers and participants, as well as the Arizona JOAD progams that have helped make the funding for these grants possible.

Eligibility requirements for consideration of the grant are determined based on the following criteria being met.

Athlete must have earned a spot and competed on a World Championship team including; World Championships (Recurve, Compound, Para, Indoor & Field), Youth Championships, Olympics, Paralympics, Youth Olympics & World University Games.
Must be a current USA Archery member with Arizona listed as state of residency and in good standing.
Athlete must apply for the grant prior to the annual deadline of October 15th for consideration*.
Applications must include a statement of how the applicant has benefited from and how they have given back to archery in Arizona.
Award recipients agree to provide a statement, interview or other write up for publication and use on, but not limited to, the USA Archery AZ website and other social media channels.

All applications will be considered on a case by case basis.

*The Board will review earlier needs or hardship cases prior to the October 15th deadline.

Award amounts - $0-500
Maximum award allowed - $500 a calendar year per athlete

Archer's Name*

First NameLast Name

E-mail Address*

Phone Number*

Area CodePhone Number

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

USA Archery Membership #*

Expiration Date*

Date

Do you have Arizona listed as your state of residency in your USA Archery membership account?*

YesNo

Club Affiliation

List the name(s) of team(s) that you earned a spot and competed on during the calendar year.*

How have you benefited from and how have you given or plan to give back to archery in Arizona? *

Please provide any additional comments or details you'd like to include and have reviewed with your application.

Legal Disclaimer: The USA Archery AZ (USAA-AZ) Board of Directors shall be the sole decision-maker regarding the award of any grant, and its decision shall be final. USAA-AZ reserves the right to discontinue, withdraw, or amend the terms of any grant program at any time and without prior notice. USAA-AZ is under no obligation to provide any grant, and all grants are subject to funding availability. Submitting an athlete grant application does not create any contractual agreement/relationship between the applicant, his or her parents/guardians* and USAA-AZ. Neither the applicant nor the applicant’s parents/guardians* shall have legal or equitable recourse against USAA-AZ concerning any grant or grant application.

Photo Release: Applicant and applicant’s parents/guardians* grant(s) USAA-AZ permission to use the applicant’s likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. Applicant along with parents/guardians* understand(s) and agree(s) that these materials will become the property of USAA-AZ and will not be returned. Applicant and applicant’s parents/guardians* grant(s) USAA-AZ the authority to edit, alter, copy, publish or distribute this photo for purpose of publicizing USAA-AZ programs or for any other lawful purpose. In addition, the applicant and parents/guardians* waive(s) the right to inspect or approve the finished product, including written or electronic copy, wherein the likeness may appear.

Official Recognition and Permission: By electronically signing below and submitting the application, applicant and applicant’s parents/guardians* certify (ies) that any information or documentation submitted in support of this application are accurate and truthful. Application information will become the property of USAA-AZ and will not be returned. Applicant and applicant’s parents/guardians* recognize(s) and certify(ies) that he/she/they has/have read and understand the above Legal Disclaimer and give permission under the conditions stated in the Photo Release.

(*Parents/guardians apply when the applicant is considered a minor by state or federal law.)

Electronic Signature *parent/guardian signature required for applicants under 18 years of age*

First NameLast Name

By clicking the submit below button you acknowledge and agree to all of the terms listed above.