SALT LAKE CITY YOUTH ATHLETIC GRANT APPLICANT CERTIFICATION The signatories declare that they 1) will be the Youth Athletic Grant Program Coordinators for the Program idea, 2) will assure that any funds received as a result of this application are used only for the purpose you describe in the application, and 3) will fulfill the terms of the contract entered between themselves, as the Program Leads, and the Community Foundation of Utah. Print Name of Organization President
Signature of Organization President
Date
Print Name of Organization Treasurer
Signature of Organization Treasurer
Date
Print Name of Organization Representative
Signature of Organization Representative
Date
PLEAESE NOTE: If you are working with another organization, please have the representative of that organization sign. For example, if you are applying through your Community Council, please have the President and Treasurer of the Council sign, as well as the head of the youth sports group that is associated.
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Basketball Program. I understand that these images will be used at the City's discretion and may be published in various materials or media. Parent Signature: ...