SUBSIDY APPLICATION FORM (GRACE BOX)

WHO IS THE CONTACT PERSON FOR THIS APPLICATION?

First Name

Last Name

Mobile

Telephone

Address

Church

We'd like to know about the people who are applying for Grace Box sponsorship.

Attendee 1

First Name

Last Name

Festival attending

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 2

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 3

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 4

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 5

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 6

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Are there more people you wish to apply for Grace Box sponsorship for?

YesNo

Additional people

Attendee 7

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 8

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 9

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 10

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 11

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Attendee 12

First Name

Last Name

Age

Age is at 1 January of the year of the festival.

Festival cost

Festival costs can be found on our website by clicking here.

Amount applying for

Comments in support of this application

Briefly tell us a little bit about you and your circumstances.

Have you applied to any other organisation for support? If so, who?

Please give details of someone who could be a referee

Name

Contact phone number

Relationship to you

Terms and Conditions

This application is for the purpose of requesting a subsidy of registration costs. New Wine’s purpose in offering this facility is to alleviate financial hardship to enable attendance at a New Wine Summer festival. Funding to provide this service is received from philanthropic donations from individuals and trusts. No cash support is provided nor will full funding be given. Funding cannot be transferred to another attendee or carried over for attendance at a future festival. Requests for subsidies are confidential and will be considered on a case-by-case basis.

Applications received before 1 December are more likely to receive a positive outcome.

All subsidy applications must be preceded by a festival booking form.

In considering applications, New Wine may make any enquiries it sees fit.

New Wine is under no obligation to grant any subsidies but will equitably consider all applications.

Applications submitted indicate consent to the terms and conditions.

I have read the terms and conditions above

Yes

Total festival cost for family $

Total subsidy applied for $

Contact Information