The Glenn Lattimore Grant Program
Enhancing Opportunity for Female Sailors
Your Name
*
First Name
Last Name
Your US Sailing member ID
*
What is your date of birth?
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Parent or Guardian Name(s) (minor applicants only)
Parent or Guardian Email Address (minor applicants only)
example@example.com
Parent or Guardian Phone Number (minor applicants only)
-
Area Code
Phone Number
Which US Sailing Youth or Adult Sailing Championship are you applying for?
*
U.S. Youth Championship
Chubb U.S. Jr Championship
U.S. Jr Women's Doublehanded Championship
U.S. Jr Women's Singlehanded Championship
U.S. Youth Match Racing Championship
U.S. Adult Sailing Championship
U.S. Match Racing Championship
U.S. Team Racing Championship
U.S. Women's Match Racing Championship
Championship of Champions
U.S. Para Sailing Championship
U.S. Singlehanded Championship
U.S. Multihull Championship
What are your estimated travel costs?
*
Regatta entry fee expenses?
*
Many sailing organizations provide support for sailors to attend the national finals. Please identify if any of these expenses are being covered.
*
Registration fee either in whole or in part
Travel stipend
None of the above
Grants typically range between $200 and $1,000. What amount are you requesting from the Lattimore Grants Program?
*
Briefly state why financial assistance is needed. Please be specific.
*
I certify that all information and statements made on this application are true to the best of my knowledge. I understand that I may be asked to provide supporting documentation upon request. If selected, I consent to submit an IRS form W-9.
*
Yes
I consent for my name and image to be used in various media if I am awarded a Glenn Lattimore Regatta Grant.
Yes
If selected, I agree to submit a report to the US Sailing Foundation detailing how the grant impacted my participation in the event and where I am in pursuit of my sailing dreams and aspirations. I will submit the report within six months after participating in the event for which I received a Lattimore Grant.
Yes
Email
example@example.com
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