MYAS/HENNEPIN COUNTY—Emergency Youth Sports Grant Program

SECTION I: INTRODUCTION

Without question the COVID-19 pandemic has created significant challenges for Hennepin County’s youngest residents. Youth sport organizations were operating and will again be permitted to operate but must adhere to public health guidance and restrictions, including development and implementation of a COVID-19 Preparedness Plan. Your youth sport organization is located in Hennepin County and may be eligible for grant funds to offset the expenses of COVID-19 related expenses.

Minnesota Youth Athletic Services has been contracted by Hennepin County to establish a grant fund known as the Hennepin County Emergency Youth Sports Grant Program. Youth sport organizations that serve the youth of Hennepin County are eligible to seek grant assistance to ensure your return to participation is healthy and safe.

Grant funds will be approved for the youth sport organizations who agree to the following criteria:

Ensure all youth athletes and coaches have access to the MYAS COVID Care Education Platform
Implement MYAS Return to Participation Requirements and Recommendations for all participation—practice, training, single games, and tournaments
Provide updates to the MYAS regarding the use of the grant funds in compliance with the mandatory requirements.

If you have questions or need assistance, please contact Craig Perry: cperry@uscah.com

SECTION II: ELIGIBILITY

You must meet the specific requirements identified below before you proceed with the application:

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* 1. Your organization is a nonprofit youth sport organization

Yes

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* 2. Your organization is registered and in good standing with the Minnesota Secretary of State

Yes

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* 3. Your organization serves youth residing in Hennepin County

Yes

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* 4. Your organization incurred the eligible expenses between March 1, 2020 and December 30, 2020

Yes

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* 5. Your organization can certify that all eligible expenditures have been incurred and can provide documentation of eligible expenses

Yes

SECTION III: APPLICANT INFORMATION

Please use this section to fill in your appropriate information.

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* 6. MN Tax ID number

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* 7. Operating name of youth sport organization

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* 8. Number of youth athletes

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* 9. Number of coaches

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* 10. Contact Information | Main Contact

Main Contact (name of individual completing the application)

Position with Association Board

Email address

Phone number

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* 11. Contact Information | Secondary Contact

Secondary Contact

Position with Association Board

Email address

Phone number

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* 12. Website

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* 13. Address (Full address with City, State, Zip Code)

SECTION IV: ELIGIBILE EXPENSES

Funding in this grant program will be allocated to youth sport organizations for eligible expenses that are necessary to safely provide organized youth sports during the COVID-19 Pandemic in compliance with public health measures.

Please select the areas where you have incurred or expect to incur COVID-19 related expenses for the period between March 1, 2020 and December 30, 2020.

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* 14. Are you seeking grant assistance for previously incurred COVID-19 expenses?

Yes

If you answered YES to question 14, please identify the specific education-related items, the cost of those items, and submit receipts via email to cperry@uscah.com.

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* 15. Will this grant be used for eligible education-related COVID-19 expenses?

Yes

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* 16. If you answered YES to question 15, please identify the specific education-related items and the estimated cost of those items.

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* 17. This grant request will be used for the purchase of eligible COVID-19 PPE expenses in anticipation of a return to play?

Yes

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* 18. If you answered YES to question 17, please identify the specific PPE items and the estimated cost of those items.

SECTION I: ACKNOWLEGEMENT and SIGN

I acknowledge the following:

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* 19. The number shown in this form is the correct MN Tax ID Number.

I agree

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* 20. I agree to comply with the MYAS grant requirements as indicated.

I agree

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* 21. I agree to provide documentation as requested by MYAS to demonstrate grant fund spending compliance.

I agree

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* 22. I acknowledge my electronic signature below confirms the youth sport organization I represent will be fully compliant with the requirements of this grant.

I agree

MYAS/HENNEPIN COUNTY—Emergency Youth Sports Grant Program

SECTION I: INTRODUCTION

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* 1. Your organization is a nonprofit youth sport organization

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* 2. Your organization is registered and in good standing with the Minnesota Secretary of State

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* 3. Your organization serves youth residing in Hennepin County

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* 4. Your organization incurred the eligible expenses between March 1, 2020 and December 30, 2020

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* 5. Your organization can certify that all eligible expenditures have been incurred and can provide documentation of eligible expenses

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* 6. MN Tax ID number

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* 7. Operating name of youth sport organization

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* 8. Number of youth athletes

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* 9. Number of coaches

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* 10. Contact Information | Main Contact

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* 11. Contact Information | Secondary Contact

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* 12. Website

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* 13. Address (Full address with City, State, Zip Code)

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* 14. Are you seeking grant assistance for previously incurred COVID-19 expenses?

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* 15. Will this grant be used for eligible education-related COVID-19 expenses?

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* 16. If you answered YES to question 15, please identify the specific education-related items and the estimated cost of those items.

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* 17. This grant request will be used for the purchase of eligible COVID-19 PPE expenses in anticipation of a return to play?

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* 18. If you answered YES to question 17, please identify the specific PPE items and the estimated cost of those items.

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* 19. The number shown in this form is the correct MN Tax ID Number.

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* 20. I agree to comply with the MYAS grant requirements as indicated.

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* 21. I agree to provide documentation as requested by MYAS to demonstrate grant fund spending compliance.

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* 22. I acknowledge my electronic signature below confirms the youth sport organization I represent will be fully compliant with the requirements of this grant.

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* 23. Name