Adna funding application through the summer league




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ADNA FUNDING APPLICATION THROUGH THE SUMMER LEAGUE


Information given on this form will be used to award your funding. Therefore please ensure details are correct and information is complete.
Forename: ___________________________________________________________
Surname: ___________________________________________________________
Address: ____________________________________________________________
_____________________________________________________________________
Post Code: _________________
Contact Number: _____________________
Mobile Number: ______________________
Email: ______________________________________________________________
EN Affiliation Number: _____________________________
Current Netball Club: ________________________________________________
Amount Requested: __________________________________________________
How Funding from your own Club: ____________________________________

If I withdraw from Umpiring within 2 years of receiving the funding from the ADNA, I agree to repay all monies in full.


Signature: __________________________________________________________


Date: _____________________


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