Recreation Grant Accountability Statement

Our Government

Budget

Council Grants

Recreation Grant Accountability Statement

Contact information

Registered name of organization *

Mailing address of organization *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email address of organization *

President's name

President's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Secretary's / Treasurer's name

Secretary's / Treasurer's address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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)

Spring 20

Fall 20

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.

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.

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:

Name of program / course

Number of people who attend by age (0-12)

Number of people who attend by age (13-18)

Number of people who attend by age (19+)

Total attendance

Project costs

Please note: Applications are required to keep proof of expenditures in case of auditing purposes. Please keep receipts or copies of receipts and cancelled cheques.

Project expenditures

Project revenues

Other

Financial summary *

Grant funds completely spent
Grant funds not completely spent; refund due

Refund amount

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.

Living in Whitehorse

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Recreation Grant Accountability Statement

Contact information

Project information

Grant session (complete one)

If you offered a leadership program or coaching program(s), please complete this portion:

Project costs

Living in Whitehorse

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Our Government

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Business in Whitehorse

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Recreation Grant Accountability Statement

Contact information

Project information

Grant session (complete one)

If you offered a leadership program or coaching program(s), please complete this portion:

Project costs