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Section 1: APPLICANT INFORMATION

Service number

*required

First Name

*required

Last Name

*required

E-mail

* required

Telephone

*required

Class

*required

Element

*required

Base/Wing

*required

How did you hear about the Support to Sports Participation Grant?

*required

Rank

*required

Gender

*required

Equity

Women Indigenous (Aboriginal) peoples Persons with disabilities Visible minorities

Self-declaration is voluntary select all that apply

Date of Birth (DOB)

DD-MM-YY / *required

Address

*required

City

*required

Province/Territory

*required

Country

*required

Postal Code

*required

FORCE Test Expiration Date

DD-MM-YY / *required

Section 2: EVENT DETAILS

What is your role at the event

*required

Sport

*required

Name of the event

*required

Event Location

City/Province/Country / *required

Host Organization

*required

Details of previous events / experience within the sport

*required

Distance travelled to attend your event

KM (roundtrip) *required numerical only

Event start date (Including travel)

DD-MM-YY / *required

Event end date (including travel)

DD-MM-YY / *required

Event Level

*required

Event link

Details of your preparation / training for the requested event

*required

Section 3: INJURIES & RISK MITIGATIONS

Is your application for a combative or extreme sport

Combative Extreme Sport NO

*required

Please describe medical services available during your event in case of injury

*required

What are the risks associated with your participation in the event?

Please explain your risks mitigations strategies / *required

Do you have a history of injury with this sport?

If yes, please describe

Section 4: EXPENSES

Registration Fees

Enter projected expense Please enter numbers only (e.g., 250.45). Do not include $ signs or text / *required

Transportation - incl ground transportation, flights, parking

Enter projected expense / *required

Accommodation

Enter projected expense / *required

Meals

Enter projected expense / *required

Other Expense

Enter projected expense

If you have selected "Other Expense", please specify

Are you receiving additional sources of funding to support your event?

Yes No

Section 5: APPROVAL SIGNATURES & SUPPORTING DOCUMENTS

I hereby certify that, I have approval from my Unit Commanding Officer to be ON DUTY while travelling to / from and participating in the above-mentioned event (as per attached Memo from Unit CO Approval)

Yes

*required

I understand that any additional Temporary Duty requirements in accordance with CFTDTI / CBI 209.015 are a responsibility of the member’s CoC

Yes

*required

I hereby certify that, to the best of my knowledge, the provided information is true and accurate.

Yes

*required

Privacy notice

I confirm that I have read the PRIVACY NOTICE.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.

MEMO UNIT COMMANDING OFFICER APPROVAL

Please select a file

*required

Notice of Intent to Travel Confirmation (intl event only)

Please select a file

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