Jumpstart Funding Offers $150 x 2 per year (Indoor and Outdoor Season) On-line application form Your Confirmation Number (ABXXXXXXXXXX) Needs to be sent to Southwest United upon completion of the online application - Please follow the Steps 1-4, Step 4 & 5 Information is listed below Step 4 Child’s First Name: Child’s Last Name: Date of Birth: Gender: Postal Code: Home Address: Parent/Guardian Email: Activity: SOCCER Start Date: 10/28/17 End Date: 03/14/18 How many weeks will the program run: More than 12 WEEKS How many days per week will the program fun: 2-4 Total Registration amount for the sport: This is your program amount $_____ How long each day will the program take place: 2 hours Full name of organization receiving funding: Calgary Southwest United Soccer Association Key Contact: Tammy Little Email: Phone: 403-281-2798 Mailing address: 11024 Oakfield Drive SW City: Calgary Postal Code: T2W 5G6 Province: Alberta Program Registration Number: 2017/18 Indoor Soccer Registration Step 5 Amount ($) Organization Registration Equipment Click Next to complete the application process… Please remember to send the confirmation number into the office
Jumpstart Funding Offers $150 x 2 per year (Indoor and Outdoor Season) On-line application form Your Confirmation Number (ABXXXXXXXXXX) Needs to be sent to Southwest United upon completion of the online application - Please follow the Steps 1-4, Step 4 & 5 Information is listed below Step 4 Child’s First Name: Child’s Last Name: Date of Birth: Gender: Postal Code: Home Address: Parent/Guardian Email: Activity: SOCCER Start Date: 10/28/17 End Date: 03/14/18 How many weeks will the program run: More than 12 WEEKS How many days per week will the program fun: 2-4 Total Registration amount for the sport: This is your program amount $_____ How long each day will the program take place: 2 hours Full name of organization receiving funding: Calgary Southwest United Soccer Association Key Contact: Tammy Little Email: Phone: 403-281-2798 Mailing address: 11024 Oakfield Drive SW City: Calgary Postal Code: T2W 5G6 Province: Alberta Program Registration Number: 2017/18 Indoor Soccer Registration Step 5 Amount ($) Organization Registration Equipment Click Next to complete the application process… Please remember to send the confirmation number into the office