Canadian Transplant Games Grant Application

Applying on Behalf of Another Athlete *

Please indicate if the application is being completed on behalf of another athlete

YES

NO

Applicant Name *

Are you a legal resident of Canada?

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you a legal resident of Canada? *

Yes

No

Are you currently training for any sport(s)? *

YES

NO

Are you using online platforms (ex. GoFundMe) to raise funds that contribute to receiving medical care? *

YES

NO

Are you willing to share your story with Move For Life Foundation for transplant awareness (social media, Newsletter, etc.) *

YES

NO