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Date of Application (month-day-year)
Full name of person submitting application *
Mailing address of applicant *
City, State, Zip *
Primary phone # * Secondary phone #
E-mail address *
CIPP # * (Go to www.usarugby.org - Membership Services)
Club Affiliation *
Local Area Union --- Eastern Rockies Great Plains Heart of America Missouri Rio Grande Texas *
Reason for grant submission? (check the appropriate box)
Player support grant - designated for WRFU members in good-standing who have been invited to a USA Rugby National and/or Representative team assembly.
The WRFU support level for participation in national and/or national representative team activities, is:
National representative team training camp – up to $75
National representative domestic match – up to $150
National representative team tour abroad – up to $300
Indicate the type of national representative team activity: --- Domestic Training Camp Domestic Match Tour Abroad
Special project grant - designated for persons, clubs, or LAUs who are members in good-standing with the WRFU.
Inclusive dates of camp/tour/event (month-day-year) From: To
Provide a brief description of the event or activity for which the grant is being requested.
What is the anticipated total cost for this event or project?
What are the other sources of revenue to support this event or project?
For all national team assemblies, please provide
1) A brief statement about your personal goals in rugby.
2) The name and contact information (at minimum, phone and e-mail) of the national team manager.
For an activity or request for material support, please clearly define
1) The nature of the activity or project with specific objectives and goals of the activity.
2) A detailed budget including all revenue sources.
3) A brief statement regarding the benefit of this activity to the Western Rugby Union community.
Submit the completed application form using the "Submit Application" button below.
To confirm receipt or if you have any questions, contact:
Dan Ward, WRFU Secretary Email dward58@earthlink.net Home phone 314-961-2706 Cell phone 314-575-8151
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Copyright © 2010 Western Rugby Rugby Union URL http://www.wrfu.org Last Modified 01/27/10