Program of Merit Application Form

This form is for application of the Program of Merit from South of Perth Yacht Club in accordance with the Program of Merit Policy. Please complete all details and submit on this page. Incomplete forms will not be considered.

Form Designer

Participant’s Details

Surname

Given Name

Status (Leave Blank - Office Use Only)

Member Number

Application Date

Phone Number

Address

Suburb

Event

Event Name

Date of Event

Location

Result - If event is already complete

Event summary (approx 200 words) - If event is already complete

Upload up to two photos and/or videos from the event - If event is already complete

Choose

List details of recent participation in club activities such as training, racing, volunteering, instructing and coaching

Parent/Legal Guardian (if participant is under 18)

Parent/Legal Guardian Name

Parent/Legal Guardian Email

Parent/Legal Guardian Application Approval - Please check box

Declaration

In applying for this Travel Grant I agree to the terms outlined in the Travel Grant Policy. I agree to represent SoPYC and promote the Club, and will submit a regatta summary (approx 200 words), including multimedia content suitable for inclusion in Club publications, to the Head Coach. *

Declaration