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Health & Recreation Grant Application

Health & Recreation Grant Applicationdocmedia2021-09-09T21:20:17+00:00

2023 Health & Rec Grant Application Form

"*" indicates required fields

Application Deadlines:
First Deadline: April 21, 2023
Cheque Issued: May 19, 2023
Second Deadline: October 20, 2023
Cheque Issued: November 24, 2023
Each registered Tsawout Member, 18 years of age and older must complete an application in order to receive the grant.
Name*
I am a registered Tsawout member.*
Date of Birth*
Address*
Proof of residency can include a utility bill, driver's license, Care Card.
Max. file size: 80 MB.

Dependents

Are you claiming dependents?*
Child's Full Name Status Card Number Birth Date Is this dependent your child? Actions
       
There are no Dependents.

Maximum number of dependents reached.

Intended Use of Grant

Please select one or more intended uses of Grant
Health Uses*
Recreation Uses*
Reset signature Signature locked. Reset to sign again
Date Signed*

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