Recreation Grant Accountability Statement Form

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Please correct the field(s) marked in red below:

Contact information

Registered name of organization
 *
Mailing address of organization
 *
Email address of organization
 *
President's name
President's address
President's phone
Secretary's / Treasurer's name
Secretary's / Treasurer's address
Secretary's / Treasurer's phone

Project information

Date of project (for which the funds were granted)
 *
Name of project
 *
Grant amount
 *
Grant session (complete one)
Grant session (complete one)

Summary of project

Include a brief description of the project and project outcomes, how the City was recognized, media coverage, equipment purchased if applicable (list model/serial numbers). Attach additional documents.

 *
Upload additional documents, if applicable
Upload any further additional documents, if applicable
Number of volunteers involved in your project
 *
Number of participants / audience or attendees involved in your project
 *
Number of community partners involved in involved in your project (financial or in-kind support)
 *
If you offered a leadership program or coaching program(s), please complete this portion:
If you offered a leadership program or coaching program(s), please complete this portion:

Project costs

Receipts or copies of receipts and cancelled cheques must be included as proof of expenditures; cheque stubs or payment invoices are not accepted.
 *
Receipts or copies of receipts and cancelled cheques must be included as proof of expenditures; cheque stubs or payment invoices are not accepted.
Upload proof of expenditures
Financial summary
 *
Financial summary

Please mail refund cheque to:

Recreation Grant Task Force Committee
c/o City of Whitehorse
Attn: Recreation Services-Keri Rutherford
2121 Second Avenue
Whitehorse, YT Y1A 1C2

The person who has completed this online form declares, to the best of their knowledge, that the funds received from the City of Whitehorse were spent in accordance with the policies of the grant and that the information contained in this statement is correct.     
 *
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