CRC Crisis Fund
1. Distressed party must be a Columbia River ProRodeo Circuit member or be an immediate family member (ie husband, wife, child).
2. Distress does not have to be a physical injury. It may also be from other disasters, such as fire, flood, or accident.
3. The online form must be submitted to Circuit Manager to then will be reviewed by the executive council and voted on. You may also submit an application letter in lieu of the online form.
4. Upon approval the treasurer will issue a check for $500.00, which is the maximum amount allowed to this date. If the distressed situation persists, the applicant can reapply up to 3 more times in any 12 month period.
5. If the fund is depleted the board will notify applicants of such and when and if further funds will be available.
Name of Circuit Member *
Your answer
Card Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Country *
Zip *
Your answer
Email *
Your answer
Telephone *
Your answer
Preferred Contact Method *
Describe the circumstances of the crisis for which this application is made. *
Your answer
Treatment Plan *
Your answer
How did you hear about CRC Crisis Fund? *
Your answer
Is there any additional information you would like to share about your situation?
Your answer
Please Certify
By submitting this application I certify that the information provided is correct to the best of my knowledge. I have provided all information voluntarily and authorize the CRC MANAGER to share my information contained in this application. *
Required
Signature (please type your name below to certify that all information in this form has been provided by you, and is true to the best of your knowledge)*
First Name, Last Name *
Your answer
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