Forever Active Kent Fund

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Forever Active Kent Fund

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PLEASE COMPLETE ALL SECTIONS OF THIS FORM

Organisation Information

Organisation Name:

Organisation Address:

Contact Name:

Position in Organisation:

i.e. Chairperson, Treasurer, Safeguarding Lead.....

Contact Email Address:

Contact Phone Number:

Project Information

Project Name:

Please confirm the funding amount as stated on your funding award email:

Programme one start date:

Programme one end date:

Programme two start date:

Programme two end date:

Programme three start date:

Programme three end date:

Financial Information

Bank / Building Society Account Name:

Bank / Building Society Sort Code:

Bank / Building Society Account Number:

Roll Number (Building Societies Only):

Declaration

Please tick the checkboxes below to confirm you accept the funding award and have read and agree to the grants Conditions of Funding.(Required)

I/We accept the funding offer for the project specified above and agree to fulfil the conditions of the grant and I confirm that, to the best of my knowledge, the information in this form is true and correct and that I have the authority to submit the form on behalf of the organisation named.

I/We consent to the publishing of our grant details on the websites, social media accounts and printed publications owned and managed by Active Kent & Medway and Kent County Council for promotional purposes.

I/We confirm that we have read the Schedule of Processing, Personal Data and Data Subjects (Annex 1) document and confirm agreement.

I/We confirm that we have read and agree to the grants Conditions of Funding.

Active Kent & Medway is committed to protecting and respecting your privacy and personal data. You can access our privacy notice on our website using the following link: https://activekent.org/about-us/privacy-notice/