Grant Request Form
1
You
2
Event
3
Funds
4
Report
Contact Information
Your Name
(Required)
First
Last
Your Email Address
(Required)
Your Phone
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Date of Birth
(Required)
MM slash DD slash YYYY
Age
(Required)
Event Information
Name of Event
(Required)
Location
(Required)
Number of boats
(Required)
Event Website
(Required)
Start Date
(Required)
MM slash DD slash YYYY
End Date
(Required)
MM slash DD slash YYYY
Club(s) Represented
(Required)
Were you required to qualify for this event?
(Required)
Yes
No
Please explain the qualification process.
(Required)
Description
(Required)
Briefly describe this event (class sailed, number of participants, history and importance of event).
Participants and preparation
(Required)
If others participated with you, give their name(s) and role(s). Describe how you trained for this event.
Financial Request
List only your costs for which you are seeking financial assistance. Please add any additional details in the support section.
Entry Fee
Description
Boat Transport, Charter & Insurance
Description
Airfare
Description
Ground Transportation
Description
Housing
Description
Other
Description
Total
Receipts
Please submit copies of receipts for all expenses above.
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 25 MB, Max. files: 6.
Have you received any financial support for this regatta?
(Required)
This includes any monetary amounts from yacht clubs, US Sailing, individual donors or other organizations.
Yes
No
Please list the sources and amount of all financial support you have or will receive.
Please list the name where the check should be made payable and address if different than applicant.
Regatta Report
Regatta Report / Mainstay Article
Regatta Photos
Please include a few photos from the regatta.
Drop files here or
Select files
Accepted file types: jpg, gif, pdf, png, Max. file size: 50 MB.
Certification
(Required)
I certify that the information included is accurate and complete and give my approval to publish the article, photos of me (and my team) on the JIB website and MBYC Mainstay newsletter.
