Sports on the Move Grant Application Form - BC Deaf Sports Federation

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Name of Sport *

Event Type (e.g. training, clinic, tournament) *

Date of Event *

Please fill out fields that are applicable to your expenses. Original receipts are required - please email them to info@bcdeafsports.bc.ca.

Flight (economical rate)

Hotel

Parking

Ferry

Gas (only if not using mileage)

Mileage x $0.61/KM

Summary of KM Driven

Please write a brief summary in regards to why you are submitting these KM for reimbursement. Please be sure to include the number of KM driven.

Other Expenses

Total Expenses *

Reimburse up to 50% or maximum of $300 after deduction, per application form. Maximum of $900 per year per person.

Deduction %

For office use only

Total Reimbursed Amount

For office use only