SMAP

The Sports Membership Assistance Program is about providing opportunities to local youth to participate in sport and belong to a local sporting club. An opportunity that families could not otherwise afford. Sport can be a pivotal and crucial part of having and maintaining good mental health and self-esteem for our youth, who may have a trauma history and/or live in poverty.

This campaign also encourages youth to participate in physical activity through alternative programs such as gym memberships, dance and even horse-riding lessons for those not inclined to play competitive sport.

This program is targeted at youth aged from 9– 25 years and is at the discretion of the FRW board.

Applicant Name *

First

Last

Date of Birth *

Gender

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email Address *

Phone *

Self-referred?

Season *

Summer
Winter
Not applicable

Please name the sport or physical activity you are requesting funding for

SMAP amound requested *

Please name the club/venue where the membership is to be paid *

Club/venue contact person name *

Club/venue contact person email / phone number *

Date of first game of the season OR date of the first session/activity *

By receiving this funding, the applicant agrees to attend where possible training sessions and compete in no less than 3 competitive matches/sessions for the SMAP membership to be active. If the participant does not participate in at least 3 matches the fees will not be paid by Four Reasons Why.

requested the first

Why is this sport/physical activity important to you? *

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