Regional Sport Development Program,

Intercommunity, Sport Skills Programs

FINAL REPORT

Contact Person:___________________  Address:_______________________________

Telephone:_______________    Fax:_________________  E-mail___________________

Community: __________________            Dates of Event: _______________________

Type of Event:________________________________________________________

Age Category: ________________            Location of Event: _____________________

OR GROUPS: ________________________________________________________

Funding Approved: ____________________

MODE OF TRANSPORTATION:  _________________________________________

Number of females: ___________            Number of Males:               ____________________

                                                (ADULTS - YOUTH)                                                                (ADULTS - YOUTH)

Other Communities Participating: _________________________________________

1.      Did you have to register all the participants with the Territorial Sport Organization for this event or were they already registered? wHAT was THE FEE?  iF IT IS NOT A SPORTING EVENT, GO TO QUESTION TWO.

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2.      WHAT WHERE THE EXPENSES INCURRED TO ATTEND THIS EVENT?  DID THE REGISTRATION FEE COVER ALL THE COMMUNITY COSTS?  WHAT WAS THE REGISTRATION FEE?  (IF NEEDED, USE AN ADDITIONAL SHEET TO ANSWER THIS QUESTION.)

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3.      DID YOU RECEIVE ANY FUNDING OTHER THAN FROM THE MACKENZIE RECREATION ASSOCIATION? (IE. FEDERAL, NWT OR MUNICIPAL GOVERNMENT, LOCAL SPORT GROUP, RECREATION COMMITTEE, TERRITORIAL SPORT GOVERNING BODY, ETC.)?

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4.      Final Report Checklist

___     a completed final report form

___     activities undertaken with the funding

___     Invoice attached

___     Receipts attached

___     results of the activities

 __     recommendation(s) for future action as per the results

___     financial statement (below)

Revenue                                                                   Expenditure

Participant's                                                               Transportation

Contribution   __________                                      Expenses  __________

Community Council                                                  Accommodation

Contribution  __________                                       Expenses           __________

Other Fund Raising  __________                           Food Expenses   __________

Amount Applying For  __________                       Other Expenses    __________

TSO / Territorial                                                        Honorarium

Contribution                 __________                       Expenses                  __________

(where applicable)

Total Revenue                     __________             Total Expenditure            __________