Jamie Shaw Memorial Fund:Bursary for Athletic Trips Form This fund is for school-related athletic trips SECTION 1: PERSONAL INFORMATION FULL NAME OF NOMINEE AND COACH * NAME OF SCHOOL * PHONE NUMBER OF COACH * Country (###) ### #### COACH'S EMAIL * SECTION 2: ATHLETIC PLAN NAME OF YUKON SPORT GOVERNING BODY * NUMBER OF YEARS PLAYING THIS SPORT HOW WILL THIS FUNDING HELP THE ATHLETE? * Thank you!