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TRAVEL GRANT APPLICATION

Travel Grant requests will not be considered unless all guidelines are followed:

Requests must include all travel documentation and receipts.
Requests must include details of any type of funding expected or already received for this event.
Refunds are subject to the approval of the State Director.
Refunds must be requested within 30 days of the event.

Full Name

Gym Name

Phone Number

Competition/Camp Name

Competition/Camp State Date

Month

Day

Year

I attended the competition/camp noted above as a(n):

Athlete

Coach

Did you receive any funding for this competition/camp?

I received no funding and paid all expenses for this competition/camp on my own

I received partial funding from USA Gymnastics for this competition/camp

I received partial funding from my region for this competition/camp

Please provide details on type and amount of funding received for this competition/camp.

Travel Documentation (Travel itinerary and purchase documentation)

Receipts for travel, hotel, competition entry fees, required apparel

The reimbursement funds will be made out to the Florida State member applying for funds.

Please remit funds to:

Full Name (on check)

Address (please input complete address)

I, the athlete or coach, requesting a reimbursement of funds, do hereby certify that I am not currently on probation with USA Gymnastics for any reason.

Signature

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