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Sports Education Assistance Submission Guidelines

**Effective May 5, 2015**

All Sport Education Assistance forms are to be submitted to the Recreation

Department each Tuesday.

Any Sport Education Assistance forms submitted to the Recreation

Department after Tuesday will then be submitted to the Finance Department the
next following Tuesday.

Sport Education Assistance Travel and Meal submissions are required to be

submitted two (2) weeks prior to your childs scheduled tournament/competition
date. Failure to comply with our Sports Education Assistance Travel and Meal
submission process will affect your childs cheque from being released in a timely
fashion.

Sport Education Assistance forms can be obtained online at

sipeknekatik.ca/sport-education-assistance-submission-guidelines-form/ ,at the
Sipeknekatik Band Administration Office receptionist desk or at the Recreation
Department (second floor of the Sipeknekatik Multipurpose Centre).

Sport Education Assistance can be submitted by email to

joanpaul@sipeknekatik.ca, by fax to (902) 236-3021 or dropped off in person to
the Recreation Department or at the receptionist desk at the Sipeknekatik Band
Administration Office.

Parents/Guardians are responsible for obtaining your childs Sport Education

Assistance cheque (s).

Sport Education Assistance cheque (s) will not be mailed or personally

delivered to your residence.

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Please be advised there are six (6) pages to the Sports Education Assistance
Program:
Pages 1 and 2: Submission Guidelines, information on submitting Sport
Education Assistance Forms.
Page 3 and 4: Sport Education Assistance Guidelines, basic information
on the Sport Education Assistance Program.
Page 5: Sport Education Assistance Form. This form needs to be
completed and returned to the Recreation Manager every time youre
seeking Sport Assistance.
Page 6: Child bio. This form needs to be filled out once (1) per fiscal year
(April 1 March 31).

For more information, please contact:

Joan Paul
Youth, Sport and Recreation Coordinator
Sipeknekatik
Phone: (902) 236-3020
Email: joanpaul@sipeknekatik.ca
Address: Sipeknekatik Multipurpose Centre, 185 Sesame Street, Indian Brook, N.S.

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Sipeknekatik Youth Sport Education Assistance

Program Guidelines
The Sipeknekatik Youth Sport Education Program provides assistance to:

All children and youth registered with the Sipeknekatik Band

The following assistance may be provided, so long as a copy of the tournament

schedule, acceptance letter or registration letter is submitted to the Sipeknekatik
Community and Youth Recreation Coordinator via email at joanpaul@sipeknekatik.ca or
by fax to (902) 236-3021.

Travel Assistance = totaling $100 once per fiscal year - April 1st to March 31.

Meal Assistance = totaling $100 once per fiscal year - April 1st to March 31.

An organized sport not exceeding the amount of $300 once per fiscal year - April
1st to March 31. If your childs sport should be a lesser value of $300, he/she is
then eligible to claim up until the value of $300 is reached.

To be eligible to claim travel and/or meal assistance, a Sipeknekatik child/youth must

already be registered for the sport they are seeking assistance for, throughout the sport
season/year.
For all Aboriginal hockey tournaments, a letter from your childs division coach must be
attached with the Sport Education Assistance Form along with a tournament schedule.
The Sipeknekatik Youth Sport Education Program does not provide assistance for any of
the following:

Equipment of any kind, this includes attire/uniforms

Late fees/cost
Materials/Supplies
Team fees/dues
Team and/or individual photos
Insurance fees/cost

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Revised May 5, 2015

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Parents, guardians please note: if your child(ren) has not used all their Sport Education
Assistance eligible to them, the remainder does not get carried over into the next fiscal
year. (New year, new budget)
For further information, please contact:
Joan Paul
Youth, Sport and Recreation Coordinator
Sipeknekatik
Email: joanpaul@sipeknekatik.ca
Phone: (902) 236-3020

sipeknekatik.ca

Revised May 5, 2015

Sipeknekatik Youth Sport Education Assistance Request

Form
I ___________________________________, is seeking assistance for the following:
(Parent/Guardian/Youth 18+ Name)

Please check the box below that applies to you:

Travel Assistance = $100.00 (For tournament and competitions purposes only)
Meal Assistance = $100.00 (For tournament and competitions purposes only)
An organized sport, not exceeding the amount of $300.00, once per fiscal year - April 1st to
March 31. If your childs sport should be a lesser value of $300.00, he/she is then eligible to claim up
until the value of $300.00 is reached.
Name of Child
Name of Organized Sport or
Tournament
Date of Season or Tournament
Childs Age
Date of Birth

Assistance Amount Requested: ________________

Assistance Amount Remaining: ______________

Please check the box below that applies to you:

Reimbursement (Must provide receipt)
Direct Payment to Organization (Must provide registration form or tournament schedule)
Name of cheque payable to: ______________________________________________________________
By signing below I do hereby understand and agree that once the amount of $500.00 is reached my child is no
longer eligible to obtain any further assistance from the Sipeknekatik Youth Sport Education Assistance
Program throughout the remainder of the year of the requested assistance, April 1 to March 31. If you
should require any further sport assistance you must do so from the Sipeknekatik Chief & Council, with letter
of request.
______________________________________________
(Parent/Guardian/Youth 18+ Signature)

_________________________________
(Date)

______________________________________________
(Recreation Coordinator Signature)

_________________________________
(Date)

Child/Youth Bio
Child/Youths information:
Last name:_____________________________________________________________________________
First name: ________________________________________________ Middle initial: _______________
Female: ____

Male: ____

Age: _____ DOB: ____________________________________________

MSI #: ________________________________________

Expiry Date: ________________________

Band registered with: ____________________________

Band #: ___________________________

School Registered/Attending: _____________________________________________________________

Name All other Sports registered/involved in: Coaches Name:
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
________________________________________
__________________________________________
________________________________________

Parents/Guardians Information:
Mother/Guardians Name:

Father/Guardians Name:

___________________________________

__________________________________

(If Applicable)

(If Applicable)

Occupation:
Occupation:
____________________________________ __________________________________
Band registered with: ______________________ (If

Band registered with: _________________________

(If Applicable)

Applicable)

Band #: ___________________________________

Band #: _________________________________

(If Applicable)

(If Applicable)

Work #: ____________________________
Home #: ____________________________
Cell #: ______________________________

Work #: __________________________
Home #: __________________________
Cell #: ____________________________

___________________________________________
Parent/Guardian/Youth 18+ Signature)
______________________________________________
(Witness Signature)

_________________________________
(Date)
_________________________________
(Date)