Please select if you are an athlete/parent or a PSO/MSO*

Athlete/Parent completing the follow-up form
PSO/MSO reviewing and endorsing the follow-up form

PLEASE NOTE: The PSO/MSO will need select PSO/MSO in order to continue to the next step to endorse and submit the follow-up form.

Step 2 – Complete Follow-up Form

Step 3 – Review Follow-up Form

GRANT INFORMATION

(Refer to the Terms and Conditions Agreement Form)

Grant Number:*

Grant Amount Received:*

Grant Period:*

ATHLETE INFORMATION

Name*

First Last

Birthday*

(dd/mm/yyyy)

Name of sport/discipline*

Address*

Mailing Address City/Town Province Postal Code

Phone*

Athlete Email*

ATHLETE ELIGIBILITY

During the grant period:

I was a member in good standing with the Provincial Sport Organization or Multi-Sport Organization?*

Yes
No

I trained in Saskatchewan:*

Yes
No

If no:*

I trained out of province as part of a formal National Sport Organization (NSO) or Canadian Deaf Sport Association sanctioned training program.
I could not receive the required level of training in Saskatchewan and as a result have relocated out of the province (Ex. due to lack of facilities, coaching, competition, national team requirements).
I attended an out-of-province University/College.
Other special reason(s) that required me to be out of the province.

Please provide the reason(s):

ATHLETIC PERFORMANCE

Please indicate the level of competitions you competed at this past year (check all that apply).*

Local
Provincial
Regional (Ex. Westerns)
National
International

How often did you train in your sport this past year?*

Number of hours per week:*

Number of weeks per year:*

Comments:

ELIGIBLE EXPENDITURES

During the grant period, the athlete assistance funding was used for the following costs: (check all that apply)

Attending competitions (Ex. entry fees, on-continent travel costs, hotel accommodations).

Please indicate the competition(s), location(s) and date(s):*

Competition	Location	Dates (dd,mm,yyyy)

attending training camps

Attending training camps (Ex. entry fees, on continent travel costs, hotel accommodations).

Please indicate the training camp(s), location(s) and date(s):*

Training camp	Location	Dates (dd,mm,yyyy)

training

Training (Ex. coaching expenses, sport science, facility rental fees, other athlete services).

Please indicate the type(s) of training, location and dates:*

Training type	Location	Dates (dd,mm,yyyy)

Assistance for sport participation

Assistance for sport participation (Ex. sign language interpreters, assistive technology, etc.)

Other

Other

Please describe:*

ACTUAL EXPENSES

Uploaded Receipts

You are able to open and review the uploaded receipts by clicking on the file name(s) below and clicking on the link that opens in the new window.

From the receipts that were uploaded, please enter the following information under the appropriate heading for all the eligible expenses. The total expenses must match the total of all the receipts that have been uploaded.

COMPETITION EXPENSES

COMPETITION EXPENSES
Date of Receipt (dd/mm/yyyy) Supplier Name (purchased from) Description of Expense Amount

TRAINING CAMP EXPENSES

TRAINING CAMP EXPENSES
Date of Receipt (dd/mm/yyyy) Supplier Name (purchased from) Description of Expense Amount

TRAINING EXPENSES

TRAINING EXPENSES
Date of Receipt (dd/mm/yyyy) Supplier Name (purchased from) Description of Expense Amount

SPORT PARTICIPATION EXPENSES

SPORT PARTICIPATION EXPENSES
Date of Receipt (dd/mm/yyyy) Supplier Name (purchased from) Description of Expense Amount

OTHER EXPENSES

OTHER EXPENSES
Date of Receipt (dd/mm/yyyy) Supplier Name (purchased from) Description of Expense Amount

TOTAL EXPENSES

TOTAL EXPENSES

FOLLOW-UP CHECKLIST

Before submitting the follow-up, we recommend you complete the following checklist to ensure your follow-up is ready for submission.
I have attached copies of the financial documentation (Ex. receipts) to verify the eligible expenses.
Copies of the financial documentation are clear and readable.
The date(s) of the financial documentation are within the grant period
The follow-up is complete, signed and dated.

ATHLETE DECLARATION AND CONSENT

consent 1*
I hereby agree that the terms and conditions outlined in the guidelines have been adhered to and the information presented in this follow-up report is correct and true.

Name of athlete or parent*
(Parent if athlete’s age is less than 18 years)

Date*
(dd/mm/yyyy)

After the athlete/parent has completed the follow-up form, please send the link to the PSO/MSO for their endorsement by clicking on the Save and send link to PSO/MSO for their endorsement at the bottom of the form. Please enter the PSO’s/MSO’s email address on the following screen to send the link. The PSO/MSO will then review and endorse the follow-up form and submit it to Sask Sport.

After the review of the follow-up form, please click the next button to the continue to the PSO/MSO Endorsement and submit the Deaf and Hard of Hearing Athlete Assistance Grant Follow-Up Form to Sask Sport.

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