Chris Smith Memorial Fund Application Form
The Chris Smith Memorial Fund is open for grant applications from primarily young people and children to support the training, preparation or participation in running related competitions. Applications can be made all year round and will be reviewed at quarterly Trustee meetings.

If your application is successful we would like to receive a short report and photo(s) of your activity to use on our social media.

If you have any questions please email chrissmithmemorialfund@gmail.com 
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Name (first and last names) *
Email *
Twitter Handle (if relevant)
Instagram Handle (if relevant)
Strava Profile link (if relevant)
Facebook Profile Link (if relevant)
Phone
Postcode *
Date of Birth *
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/
DD
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YYYY
Name of parent/guardian if you are under 18. We may contact them to verify the information you have provided (first and last names)
Their relationship to you
Their email
Their phone number
If you are a member of a running/athletics/sports club please let us know the name of the club
What is your sport? *
Please provide details of what the grant application is for and why you wish to participate *
What are you aiming to achieve in your sport - what are your goals and objectives? *
What will this funding enable you to do that you wouldn't be able to do otherwise? *
Total cost of activity *
Total grant requested *
Dates of activity *
Are you applying for money towards a competition or event? *
If Yes, which competition?
Please tell us how you heard about the Chris Smith Memorial Fund
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I understand that if successful I will be required to submit a short report with photographs to the Chris Smith Memorial Fund once the activity has been completed. *
Required
I consent to my name, club and any image I submit being used to report and promote the Chris Smith Memorial Fund e.g. via the website or social media. I will let the fund know if I object to this. *
Required
I confirm that I have read the Chris Smith Memorial Fund guidance and the privacy notice which can be found on the home page of the website. *
Required
I declare that the information I have given is true and correct. (Type name here) *
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