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Application Form

The Upper Hutt City Council recognises that COVID-19 has had a significant impact on our community. To support those experiencing financial hardship, Activation provides a Sporting Chance grant to assist young people where  financial hardship is a barrier to participation in sport and physical activity.

Application Criteria:

1. The applicant’s immediate family is unable as a result of
COVID-19, to support them in providing the necessary
equipment, clothing or other related costs to enable
participation in sport or physical activity.
2. The applicant must live in Upper Hutt and be aged 5 - 18
3. The completed application is genuinely in aid of assisting
participation in sport or physical activity which otherwise
would not take place.
4. A quote is are required for clothing, footwear and equipment.
5. A letter from the club or school/class with a cost breakdown
of fees is required if applying for fees/subs.
6. Funding will not be given retrospectively.
7. The maximum amount that can be granted for a single
applicant is $500 + GST.

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* 1. Contact Information

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* 2. What sport is the applicant currently involved in, or wants to participate in?

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* 3. Which club does the applicant belong to, or wish to belong to?

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* 4. Purpose and kind of assistance needed

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* 5. Parent / Guardian

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* 6. Conditions of Assistance

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* 7. Briefly outline relevant family circumstances 

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* 8. Specific child needs (detail)

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* 9. Referee

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* 10. Supporting Documentation

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