All fields marked with * must be completed

Name *

Email (main contact for this application) *

If you are under 18 years of age you must provide the name and email address of your Parent or Legal Guardian below

Name of Parent or Guardian

Email for Parent or Guardian

Address *

Telephone Number *

Date of Birth *

We may wish to contact someone who can verify the information you have provided. So please provide the name and contact details of your Coach or Junior Club Coordinator.

Name of Coach or Club Junior Coordinator *

Email for Coach or Club Junior Coordinator *

We only support athletes that compete in the sports shown in the list below (if you do not compete in one of these sports we cannot assist you). Please select your sport *

Fell, hill or mountain runningRoad runningAthletics – track and fieldCross country runningTriathlonOrienteering

Club

Name and description of the activity /equipment for which the grant is required *

Date of travel / activity

Total Cost *

Amount Raised *

Amount Needed *

If your application is successful please state in priority order what you would spend the money on, with costs. *

In the space below please describe your reasons for wishing to participate in this activity (or equipment required), the benefits that you expect to gain and your main achievements to date and your aims for the future.

Please also indicate other fund raising efforts you are making, why you need this funding and any other financial means you have available.

Please tell us how you heard about the John Taylor Foundation * —Please choose an option—Word of mouthSearch engineLeafletI saw a JTF flag at a raceThrough my club websiteJTF websiteI am a previous applicantOther
If Other

By completing this application form you are giving consent for the Foundation to use your contact data to contact you. We may need to contact you via email or telephone in relation to your application. We will not share your contact data with any third party. Please tick to accept that we can contact you AcceptDo not Accept

By submitting this page you declare that the above information is true and correct. In making this application, you agree to be bound by and comply with the conditions set out on the JTF web-site (or available on request). This includes the requirement that you will provide a report on how you have used the grant.

If your application is successful we will publish information about the grant and report that you send to us. We are aware that there may be circumstances where you do not want your details published. If this is the case, please tick the relevant box I am happy for my details to be publishedI do not wish my details to be published (If you choose the second option, you must still provide us with a report, but we will not publish it.)

Type this code in the box below