2022/2023 Winter Get Active Grant Reporting Form

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Thank you for participating in the Get Active program and supporting your community to be physically active. If you have any questions, please contact Nuka at ndejocas@nwtrpa.org.

Your Name: *

Email address: *

Name of Organization: *

Community: *

Is your community more or less than 1,000 people? *

More than 1,000 people

Less than 1,000 people

Region: *

Dehcho

Inuvialuit Settlement

Akaitcho

Sahtú

South Slave

Tłı̨chǫ

Gwich’in

Main contact for this grant application (if different from above)

Email address for grant applicant/organizer

Please select what type of funding you received: *

Category 1: Get Active Grant for 3 community oriented events ($750)

Category 2: Elders Grant for three events ($1,000)

Category 3: Equipment ($400)

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