| ABOUT US | SITE INDEX | HOME | CONTACT US |
|
THE BERMUDA OLYMPIC ASSOCIATION
P O Box HM 1665
Telephone: 441 295 7146
ELITE ATHLETE FUNDING National Sports Governing Bodies should submit this form together with any accompanying documentation to the Bermuda Olympic Association Office, Suite 405, International Centre, Par-la-Ville Road, Hamilton. Forms may also be submitted by mail, e-mail or fax (see Contact Us for contact information). Applications will be considered at the next BOA Technical Committee Meeting, and approved a the following BOA Executive Meeting.
Reimbursement is limited to days of competition only. |
|
NAME OF ATHLETE:________________________________________________________ NATIONAL GOVERNING BODY:_____________________________________________ SPORT/DISCIPLINE:________________________________________________________ DATE OF BIRTH:___________________________________________________________ Please detail intended participation at International Competitions for the coming year (including dates and venues): DATE
VENUE
COMPETITION Please detail a budget for the coming year in respect of forseeable expenses for international competition participation as follows: 1. TRAVEL (AIRFARE & OTHER TRANSPORTATION COSTS)
DATE
VENUE
COMPETITION
__________________________________________________________________________ 2. HOTEL ACCOMMODATION DATE
VENUE
COMPETITION 3. ENTRY FEES DATE
VENUE
COMPETITION
4. TRANSPORTATION OF EQUIPMENT/BOATS/HORSES ETC.
5. OTHER TOTAL BUDGET $____________ PAST RESULTS AND PERFORMANCES: DATE
VENUE
COMPETITION
RESULT I, the undersigned, hereby certify that the above information is true and correct to the best of my knowledge at this time. Signature:________________________________________________________________ Name of NGB representative:_________________________________________________ Signature of NGB representative:_______________________________________________
|
|
|
