Required fields are marked with asterisks (*)

Appendix 1 - Sporting event support program form

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General information

Name of the applicant’s association

Address of the association

Postal code

Association's email

Name of the person responsible for the application

Telephone

Email (if different)

Type of event

Name of event

Sport or discipline

Event start and end dates

Event description

Number of teams or athletes expected for the event

Number of teams or athletes from outside a 150 km radius from Dieppe

Will the entire event take place in Dieppe?

Yes

Organizational structure

Scale of event

Provincial

National

International

Do you intend to hire one or more employees for this event?

Yes

Please attach the structure of the organizing committee and the names of those in each position.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Event funding

Please attach the detailed event budget.

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

What amount of funding are you asking from the City of Dieppe?

Other

Specify the advantages of your event for the City of Dieppe

Specify the visibility that your event will bring to the City of Dieppe

Personal information on this form is collected under the authority of the Right to Information and Protection of Privacy Act for the purpose of processing your application. Questions about this collection of personal information can be directed to the City Clerk, 333 Acadie Avenue, Dieppe, New Brunswick, E1A 1G9, 506.877.7900

154CLV06.20