To request a grant from Weston-super-Mare Lions, please complete the form below

1. ABOUT YOUR ORGANISATION

Name of your club/organisation (as it appears on your constitution or governing document if applicable):

Club/Organisation address:

Club/Organisation Postcode:

Daytime telephone number:

Mobile telephone number:

Club/Organisations website address

If you are a registered charity, please give your registration number

Are you independent or a branch of a larger organisation or group of organisation?

Name and charity number of your parent organisation if this applies

Describe the purpose and activities of your organisation

2. APPLICANTS CONTACT DETAILS

Your name

Role in the Organisation

Daytime phone number

Evening phone number

Mobile phone number

Your email

3. WHO WILL BENEFIT FROM THE PROJECT YOU’RE APPLYING FOR?

Tell us about the children and young people your project is working with (numbers, ages, gender, times, etc.) Please use no more than 250 words.

4. TELL US ABOUT THE PROJECT YOU’D LIKE GO KIDS GO TO SUPPORT

Which category of funding are you applying for?

SportTheaterDrama GroupMusic GroupScouts or Girl GuidesYouth ClubGardening ClubOther

If other, please say what

What would you use the money for?

How much will your project cost in total £?

How much money are you asking from Go Kids Go £?

If this application is to fund existing work, or part of a bigger project, what hs your organisation done to date to raise money?

5. KEEPING CHILDREN AND YOUNG PEOPLE SAFE

Name of person responsible for child protection

Job title of person responsible for child protection

Do you make sure that all staff and volunteers with access to children, young people and all management committee members are fully trained in Child Protection and ha DBS(Disclosure & Barring Service) checks?

YESNO

6. YOUR FINANCES

How are your finances funded? (subscriptions, grants, fund-raising, donations etc.)

7. AND FINALLY

It would be helpful if you could give us specific details of how you heard about Go Kids Go! (for example: member of the Lions Club, one its supporters, in the Weston Mercury, informed by another club, through your organisation etc)