Apply for MEND Funding

If you are the parent or legal guardian of an Indigenous child between the ages of 4-18 who would like to apply for the MEND program.

MEND funding Application

Your Info (parent or legal guardian)

Your Name

First Name

Last Name

Phone

(###)

###

####

First Nation

Message

How did you hear about the MEND?

Applicant's Info (child)

Child Name

First Name

Last Name

Child's Date of Birth

YYYY

Child's First Nation

Child's Primary Sport

First Nation Membership Clerk

Clerk's Name

First Name

Last Name

Clerk's Email

Clerk's Phone

(###)

###

####

Clerk's First Nation

Emergency Contact

Emergency Contact Full Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

League Info (if applicable)

Name of your League/Organization

League/Organization Contact Name

First Name

Last Name

League/Organization Contact Email

League/Organization Contact Phone Number

(###)

###

####

Please check all the Consent.

I am the parent or legal guardian of an indigenous child between the ages of 4-18 who would like to apply for the MEND program.

I agree to terms & conditions provided by MEND Canada. By providing my phone number and email, I agree to receive text messages from the business. By providing my Membership clerks phone number and email I am providing my consent for MEND to contact them with regards to determining my child's membership status.

I am expressing my desire to apply for MEND Canada funding for my child and verifying that all of the information provided is correct and accurate.