Application Form for Financial Assistance

CSGA JUNIOR GIRLS REQUEST FOR FINANCIAL ASSISTANCE

Name*
First Last
Phone*
Email*
Address
Street Address Address Line 2 City ZIP / Postal Code Country
Details of Expenses
The CSGA will cover 1/3 of the expenses listed below, provided that receipts are attached and that the activity is approved by the CSGA JPO.
Activity for which claim is being made:*

(Include the event, venue and date)
Travel

(A petrol allowance will be paid for travel by private car. Please indicate the odometer start and finish reading.)
Entry Fee
Accommodation

(Paid only in exceptional circumstances, contact JPO for advice)
Uniform
File Upload*
Max. file size: 6 MB.
Please Attach Copies of receipts, these can be photos or scanned.
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Details of Expenses