Application Form





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 *

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 *
If Other

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).

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