Acquittal

Congratulations on your success!

It would be very helpful if you could please complete this form. It will assist in providing all the information required for us to forward your funding. It will also afford you well-deserved publicity.

Name(Required)

First Last

Email(Required)

Event(Required)

Location of Event(Required)

Please outline your results/achievements(Required)

What was the highlight of the event(Required)

How did you get started in your sport(Required)

Who was your mentor

Are you involved in other sport/s & if so what are they

Who is your favourite sporting hero and why

What is your next sporting goal

Please provide photos of you at the event(Required)

Drop files here or

Accepted file types: jpg, png, jpeg, Max. file size: 300 MB.

Please provide your bank details for the transfer of funds

Banking Institution(Required)

BSB(Required)

Account Number(Required)

Account Name(Required)

Additional Receipts/Proof of Payment info(Required)

Drop files here or

Max. file size: 300 MB.

Please Note: If you weren’t able to include proof of payment (copy of receipts etc) with your application, it is very important that you supply them with this form so your funding can be paid. Payment can not occur until this information is received.

Please provide your bank details for the transfer of funds

Achieve your sporting goals

Achieve your sporting goals

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