HYUNDAI HOCKEY HELPERS GRANT APPLICATION

Helping
Kids
Get In
The GamE
HYUNDAI HOCKEY HELPERS GRANT APPLICATION
Hyundai Hockey Helpers provides grants so deserving
Canadian kids can play organized hockey through a
partnership with KidSport.
Please read all grant guidelines before completing application.
Hyundai Hockey Helpers
Grant Application
SECTION 1: CHILD INFORMATION
Frist Name:
Last Name:
Address:
City:
Postal Code:
Telephone:
Email:
Gender:
Male: _____
Female: _____
Birthdate – 18 and under (mm/dd/yyyy):
Sport activity start and end dates:
Start Date (mm/dd/yyyy): _______________
End Date (mm/dd/yyyy): _______________
SECTION 2: PARENT/GUARDIAN
Frist Name:
Last Name:
Address:
City:
Postal Code:
Telephone:
Email:
Relationship to child:
How many adults in home (over 18): ____ How many children in home: ____
How did you find out about Hyundai Hockey Helpers: SPORTSQUÉBEC ___ Sport Organization ___ Website ___ School ___ Recreation Centre ___ Media ___
I agree that all the above information is accurate.
Signature:
Date:
SECTION 3: FUNDING REQUEST
Organization/club/league:
Email:
Address:
Postal Code:
City:
Telephone:
Contact Name:
What type of grant: Registration _____
Amount requested (total not to exceed $300):
Equipment _____
Both _____
Registration fee: $__________
Equipment: $__________
Total request: $__________ (not to exceed $300)
Important (registration): For registration request, please attached sport club registration form to verify registration fee.
Important (equipment): For equipment request, please attached quote for equipment from retailer.
SECTION 4: INCOME VERIFICATION
Gross annual household income (check one):
Less than $30,000 _____ $30,000 - $39,999 _____ $40,000 - $49,999 _____ $50,000 - 59,999 _____ $60,000 & over _____
Hyundai Hockey Helpers Grant Guidelines:
1.
How does KidSport determine eligibility?
KidSport considers social and economic barriers facing the child’s family when determining eligibility.
2.
What is covered under the grant?
A Hyundai Hockey Helpers grant covers up to $300 per child, per calendar year, to go toward registration fees and personal sports
equipment.
3.
What sports are covered?
Hyundai Hockey Helpers grants cover organized hockey that is instructed by qualified coaches and that represents a sustainable
sports experience.
4.
What ages are covered?
Children 18 years old and under qualify for funding.
5.
What are the funding arrangements?
Funds for registration fees will be providing to the family to distribute, but will be issued and made payable directly to the sports
club.
QUESTIONS? Call 514-252-3114 #3616 or email [email protected]
Hyundai Hockey Helpers
Grant Application
Please send your grant application to the organization that is in the region of your home address.
SPORTSQUÉBEC partner list
Region
AbitibiTémiscamingue
Baie-James
Organization
Loisir et sport AbitibiTémiscamingue
Commission Loisir et
Sport de la Baie-James
Unité Régionale de Loisir
et de Sport du Bas-SaintLaurent
Unité de loisir et de sport
de la Capitale-Nationale
Loisir et Sport
Côte-Nord
Loisir Sport
Centre-du-Québec
URLS
Chaudière-Appalaches
Unité régionale loisir et
sport Gaspésie-Îles-dela-Madeleine
Conseil Sport Loisir de
l’Estrie
Contact
Joanne Aumond
Loisir et Sport
Lanaudière
Loisirs Laurentides
Martin Bradette
Maude Poulin
Lemieux
Michel Morissette
Outaouais
Conférence régionale
des Élus de Laval
Unité régionale de loisir
et de sport de la Mauricie
Sport et Loisir de l’Île de Montréal
Loisir et Sport
Montérégie
Loisir sport Outaouais
Saguenay Lac StJean
Hockey Saguenay-LacSaint-Jean
Marco Lavoie
Bas-Saint-Laurent
Capitale-Nationale
Côte-Nord
Centre-du-Québec
ChaudièreAppalaches
Gaspésie-Iles-dela-Madeleine
Estrie
Lanaudière
Laurentides
Laval
Mauricie
Montréal
Montérégie
Richard Leclerc
Josée Longchamps
Diane Roy
Pierre Lebreux
Dominique Viens
Sabrina Bilodeau
Magalie Forest
Louise Héroux
Richard Leduc
Céline Brosse
Patrick Lafleur
Guy Arcand
Information
[email protected]
819-825-2047
[email protected]
819-739-2273
[email protected]
418-723-5036 #230
[email protected]
418-877-6233 #101
[email protected]
418-589-5774
[email protected]
819-478-1483 #238
[email protected]
418-833-5678 #103
[email protected]
418-388-2121
[email protected]
[email protected]
819-864-0864
[email protected]
450-588-4443
[email protected]
450-229-2200
[email protected]
450-686-4343
[email protected]
819-691-3075 #6534
[email protected]
514-722-7747 #0
[email protected]
450-773-9802
[email protected]
819-663-2575 #25
[email protected]
418-542-7996