Belleville Bulldogs - Junior Rugby Funding Application
2019 Cost Breakdown
Touch Rugby - $75.00
U13 or U15 Team - $220.00
U17 or U19 Team - $245.00

Please fill out this form and submit it by Friday, May 10, 2019. The Board of Directors will review and assess applications. Please note that the number of players that will receive funding and the amount of funding will depend on various factors. Those athletes selected to receive this funding will be contacted by email.

Note: A minimum contribution of 10% is required.

Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Mailing Address *
Please include street, city, and postal code.
Your answer
Parent/Guardian Phone Number *
Your answer
Parent Guardian Email Address *
Your answer
Athlete First Name *
Your answer
Athlete Last Name *
Your answer
Athlete's Date of Birth *
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Team *
What level of funding does the athlete require? *
A minimum contribution of 10% is required.
Please provide additional information to justify why the athlete requires funding. *
Your answer
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