Sporting, Recreation and Development Donations

Sporting, Recreation and Development Donations
Team Name
Application Form
Individuals who have been selected to represent the State or Nation in an interstate or overseas competition in a sporting, recreational, educational or arts activity are eligible for one donation per financial year provided supporting documentation is included in the application. This application must be for an activity in the future, and that no retrospective funding will be granted.
Name of Applicant
Age
Name of Parent / Guardian (if under 18)
Residential Address
Phone Number
Email Address
example@example.com
Date of Activity

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Location of Activity
Type of Activity
Championship / Performance Event
Name of Organisation / Sporting Body applicant is representing
Has the applicant applied for a donation with Armadale within the last 12 months?
Grant Amount
Costs
Please provide the costs involved in attending this activity with proof of costs.
Airfare
Accommodation
Uniform
Other Travel Expenses
Total Costs
Support Material
(Please provide copies of all of these documents with each application)
File Upload

Please provide club selection letter, proof of address, proof of payments.
Cancelof
Declaration
I declare that the information that I have provided in this application is true and correct. I acknowledge that this application is for an activity in the future, and that no retrospective funding will be granted.

The City of Armadale is collecting the personal information requested on this form for the purpose of assessing eligibility for the Sporting, Recreation and Development Donation Application and processing payments. If you choose not to provide the requested information, the City may be unable to process your application.

The City manages personal information in accordance with the Privacy and Responsible Information Sharing Act 2024 (WA), other applicable laws and the City's Privacy and Information Sharing Policy.
Name
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Electronic Funds Transfer Form (EFT)
Electronic Fund Transfer (EFT) is the City's preferred method of payment. Funds will be deposited directly to your nominated bank account. A description will appear in on your bank statement to identify the payment . If there any changes to your banking details please let City- Finance department know immediately.

The City of Armadale will not be held responsible for any delays or errors in payment due to the factors out of the City’s control (including but not limited to those resulting from banking industry systems
Name

Given Names(Surname)
Address
Contact Number
Email for remittance advices
example@example.com
BSB
Account number
Bank name and branch
Account name
Declaration: I/We hereby acknowledge and accept the conditions of EFT as stated in this application
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Should be Empty:

Sporting, Recreation and Development Donations

Application Form

Costs

Support Material

Declaration

Electronic Funds Transfer Form (EFT)