Home / Funding Opportunities / Funding and Grants / Adaptive Sport Grants / Adaptive Sport Club Development Grant Follow-up Form – Step 2 Adaptive Sport Club Development Grant Follow-up Form – Step 2 ORGANIZATION TYPEI'm submitting the follow-up on behalf of a: Club or Community Organization Provincial Sport Organization, Multi-Sport Organization or District CONTACT INFORMATIONClub or Community Organization*Contact Name*Position*Phone*Club or Community Organization Email* Website* PSO/MSO/District*Contact Name*Position*Phone*PSO/MSO/District Email* PSO/MSO/District Fiscal Year* GRANT INFORMATIONPlease refer to the Terms and Conditions Agreement Form for the grant information.Grant Number*Grant Amount Received*Grant Period* PROGRAM INFORMATIONProgram Name*What sport(s) did your program involve?*Program Start Date*(dd/mm/yyyy)Program End Date*(dd/mm/yyyy)Number of Weeks*Program Times*Location(s)*Which communities/towns had participants that benefitted from the sport program?* Use the + to add information Please provide a description of the program, the frequency of practices and games, tournaments, highlights, etc.* Please list the number of athletes that participated in the program:Age GroupsMale AthletesFemale AthletesSelf-Described Gender AthletesAthletes with a DisabilityAthletes of Indigenous Ancestry Please note: A person may be included in up to three columns (Ex. A 12 year old female with a disability who is of Indigenous ancestry). Was the program led by a qualified coach or instructor?* Yes No What is the name(s) of the qualified coach or instructor?* Use the + to add information Please explain how the Adaptive Sport Club Development Grant impacted the sport program?*Please explain how the sport program benefited the participants? (Ex. observations, testimonials and/or quotes)*Was there training, certification or skill development opportunities offered to coaches/instructors?* Yes No Use the + to add information*Number of coaches trainedType of training Use the + to add information Was there training, certification or skill development opportunities offered to officials?* Yes No Use the + to add information*Number of officials trainedType of training Use the + to add information Was there training, certification or skill development opportunities offered to volunteers?* Yes No Use the + to add information*Number of volunteers trainedType of training Use the + to add information How did the training for coaches, officials and/or volunteers positively impact participants and overall sport program?*Did your organization partner with any other group, community or organization to offer the program?* Yes No Please explain your answer.* Were any sport medicine and science services used?* Yes No What sport medicine and science services were used? (check all that apply)* Sport Nutrition Strength and Conditioning Mental Training Injury Care / Prevention Sports First Aid Other Other* Based on the program information provided in your application, did the program meet the expected outcomes (qualitative and quantitative)?* SASK LOTTERIES PROMOTIONHow was Sask Lotteries promoted? (check all that apply)* Signage (posters, banners, etc.) Print ads Website Social media Event announcements Promotional items Other: * PROGRAM FEEDBACKWhat feedback did you receive informally from participants and/or caregivers?*Based on conversations or feedback, what aspects of the program did participants value the most?*Were there any common suggestions or concerns raised by participants?*What changes, skills or benefits did participants report (Ex. Increased confidence, physical activity, sense of belonging)?*How do you know the program made a positive difference for participants? Please provide examples of quotes if possible.*Did participants identify any barriers to participating in the program?* Please attach as much supportive information as possible, such as photographs of the participants in the program, quotes from the people who participated and/or copies of the evaluations forms. Drop files here or Select files Max. file size: 32 MB. FINANCIAL BUDGETPlease outline all actual program revenues and expenses. RevenuesRevenuesAmount ExpensesExpensesAmount TOTAL SURPLUS (DEFICIT)* FINANCIAL DOCUMENTION (RECEIPTS)This field is hidden when viewing the formUploaded ReceiptsUploaded Receipts You are able to open and review the uploaded receipts by clicking on the file name(s) below: For each receipt uploaded, you must also provide the following information: EXPENSESDate of Receipt (dd/mm/yyyy)Supplier Name (purchased from)Description of ExpenseAmount Use the + to add information TOTAL EXPENSES CLUB/COMMUNITY ORGANIZATION DECLARATIONOn behalf of the Club/Community Organization, I hereby agree that the terms and conditions outlined in the guidelines have been adhered to and the information presented in this follow-up report is correct and true. Yes No Club or Community Organization Signing Authority NamePosition DECLARATION INSTRUCTIONSClub or Community Organization: Once completed, please send the link to the PSO/MSO/District by clicking on the ‘Club or Community Organization: Send link to PSO/MSO/District’ link at the bottom of the form. PSO/MSO/District’s Declaration: Click the ‘PSO/MSO/District Only – Declaration’ button to proceed to the PSO/MSO/District declaration section. PSO/MSO/DISTRICT DECLARATIONPlease Note: A copy of the PSO/MSO/District audited financial statement is required when it becomes available. Revenues (under Sask Lotteries Trust Fund revenue) and expenditures (under Categorical Grants) for this grant must be clearly identified as a separate line item either in the body of the statement, in the schedules or notes to the statements. The Adaptive Sport Club Development Grant revenues and expenditures will be identified as a separate line item within the PSO/MSO/District audited financial statement? Yes No Please refer to the Adaptive Sport Club Development Grant Guidelines as this is a requirement. On behalf of our organization, I have reviewed the Adaptive Sport Club Development Grant Follow-up form.* Yes No On behalf of our organization, I am endorsing the Adaptive Sport Club Development Grant Follow-up Form.* Yes No Please explain why your organization is not endorsing the Adaptive Sport Club Development Grant Follow-up.* PSO/MSO/District Signing Authority Name*Position*PSO/MSO/District Email* Once complete hit ‘Submit’. CAPTCHA