2024 Nova Scotia Mi’kmaw Summer Games Financial Support Forms

** For Millbrook Band Members Only **

Please note that funding is only available for Minors (18 and under) and Seniors (65+). The deadline for applications will be August 8th. This is to ensure we can receive the funding via cheque by August 15th. Christina Dykstra will pick up cheques and bring them with me to Membertou on August 18th for athletes to pick up.

Minors Form

Parents Name

First Name

Last Name

Phone

(###)

###

####

Email

Athlete Name

First Name

Last Name

Band Number

Full 10 Digits

Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Amount Requested

$500

$1000

Senior’s Form

Name

First Name

Last Name

Email

Date of Birth

MM

DD

YYYY

Band Number

Full 10 Digits

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Coaches

Name

First Name

Last Name

Email

Phone

(###)

###

####

Date of Birth

MM

DD

YYYY

Band Number

Full 10 Digits

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Summer Games Financial Support

2024 Nova Scotia Mi’kmaw Summer Games Financial Support Forms

Minors Form

Senior’s Form

Coaches

Millbrook First Nation